Individual
DR. JUDSON WILLIAM WELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061453
NY
1223G0001X
General Practice Dentistry
D.6812-C1
AL
Other
Enumeration date
11/12/2020
Last updated
04/20/2026
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