Individual
JAMAL WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4550 E BELL RD STE 106, PHOENIX, AZ 85032-9342
(602) 344-9530
Mailing address
3123 W CYPRESS ST, PHOENIX, AZ 85009-2446
(928) 202-0181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
061150
NY
122300000X
Dentist
D012628
AZ
1223G0001X
General Practice Dentistry
Primary
D012628
AZ
Other
Enumeration date
04/30/2019
Last updated
09/20/2025
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