Individual
DR. SAMUEL THOMAS WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
833 SW 11TH AVE STE 405, PORTLAND, OR 97205-2118
(503) 228-6870
(503) 222-7189
Mailing address
833 SW 11TH AVE STE 405, PORTLAND, OR 97205-2118
(503) 228-6870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11809
OR
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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