# L.BRETT WELLS DDS III PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851930986
- **Authorized official:** MRS. VANESSA RAMOS (DIRECTOR OF INSURANCE)
- **Authorized official phone:** (919) 229-8803

## Contact information

- **Practice address:** 124 WALNUT ST STE 101, WILMINGTON, NC 28401-4361
- **Practice address phone:** (910) 254-4555
- **Mailing address:** 8450 LOUISBURG RD STE 130, RALEIGH, NC 27616-5884
- **Mailing address phone:** (919) 266-5332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 01/07/2020