Organization
WAVEL L. WELLS, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAVEL LOU WELLS DDS (CEO/PRESIDENT)
(580) 248-8418
Entity
Organization
Contact information
Practice address
4417 W GORE BLVD, SUITE 11, LAWTON, OK 73505-5978
(580) 248-8418
(580) 248-4118
Mailing address
4417 W GORE BLVD, SUITE 11, LAWTON, OK 73505-5978
(580) 248-8418
(580) 248-4118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1073
OK
1223P0221X
Pediatric Dentistry
3494
OK
1223P0221X
Pediatric Dentistry
4781
OK
Other
Enumeration date
10/09/2006
Last updated
09/11/2025
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