# CHRISTOPHER R WELLS DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801811732
- **Authorized official:** DR. CHRISTOPHER R WELLS DMD (OWNER/PRESIDENT)
- **Authorized official phone:** (208) 345-2771

## Contact information

- **Practice address:** 1880 JUDITH LN STE 210, BOISE, ID 83705-3185
- **Practice address phone:** (208) 345-2771
- **Practice address fax:** (208) 345-2888
- **Mailing address:** 1880 JUDITH LN STE 210, BOISE, ID 83705-3185
- **Mailing address phone:** (208) 345-2771
- **Mailing address fax:** (208) 345-2888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-3568 | ID | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 12/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1347936 | UNITED CONCORDIA | ID |
| 01 | — | 6J432 | BLUE CROSS OF IDAHO | ID |
| 05 | — | 806186200 | — | ID |
| 01 | — | ID03568A | DELTA DENTAL | ID |