Individual
DR. JOHN R. WELLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1411 S GREEN ST, SUITE #110, BROWNSBURG, IN 46112-2049
(317) 852-8113
(317) 852-8115
Mailing address
6378 TIMBER CLIMB, AVON, IN 46123
(317) 272-4799
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009997
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102312
ISDH/CSHCS
IN
01
—
210417
CIGNA PROVIDER NUMBER
—
01
—
4081402
BCBS OF TN
TN
01
—
630-23192
BCBS OF ALABAMA
AL
01
—
863116
UNITED CONCORDIA
—
Enumeration date
06/15/2006
Last updated
07/09/2007
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