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Individual

MR. JAMES M WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
208 PROFESSIONAL CIR, MOREHEAD CITY, NC 28557-4302
(252) 247-3010
(252) 247-3044
Mailing address
208 PROFESSIONAL CIR, MOREHEAD CITY, NC 28557-4302
(252) 247-3010
(252) 247-3044

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4131
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
521973
UNITED CONCORDIA
NC
05
8999118
NC
01
99118
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
03/06/2007
Last updated
07/08/2007
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