Organization
NELSON & WELLS ORAL AND MAXILLOFACIAL SURGERY PROF LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up