Organization
NICOLE WELLS DDS PLLC
Active
Other names
West Lake Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (PAYER ENROLLMENT MANAGER)
(972) 869-3789
Entity
Organization
Contact information
Practice address
298 N NC 16 BUSINESS HWY STE E, DENVER, NC 28037-8480
(704) 483-1870
(704) 483-1221
Mailing address
298 N NC 16 BUSINESS HWY STE E, DENVER, NC 28037-8480
(704) 483-1870
(704) 483-1221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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