# L. BRETT WELLS DDS PA

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

## Provider details

- **NPI number:** 1891594032
- **Authorized official:** LAURA ILLINGWORTH (RCM)
- **Authorized official phone:** (919) 266-5332

## Contact information

- **Practice address:** 1512 VILLAGE MARKET PL, MORRISVILLE, NC 27560-7511
- **Practice address phone:** (919) 266-5332
- **Mailing address:** 2920 FORESTVILLE RD \# 100-06, RALEIGH, NC 27616-8774
- **Mailing address phone:** (919) 266-5332
- **Mailing address fax:** (919) 229-8805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 04/16/2025