Organization
NELSON & WELLS ORAL AND MAXILLOFACIAL SURGERY PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY TYLER WELLS DMD (PARTNER)
(303) 758-6850
Entity
Organization
Contact information
Practice address
6850 E HAMPDEN AVE, SUITE 202, DENVER, CO 80224-3024
(303) 758-6850
(303) 758-0729
Mailing address
6850 E HAMPDEN AVE, SUITE 202, DENVER, CO 80224-3024
(303) 758-6850
(303) 758-0729
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
CO6819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068195
—
CO
01
—
CB1835
DR. STEVEN NELSON MEDICARE PTAN
CO
01
—
CB1865
DR. MICHAEL ROLLERT MEDICARE PTAN
CO
Enumeration date
05/02/2011
Last updated
02/22/2024
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