DR. Jeremy Mantle Wells, D.D.S.

NPI #1114470580 in Eielson Afb, Alaska

Provider Information

NPI Number: 1114470580
Entity Type: Individual
Name: DR. Jeremy Mantle Wells, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 2, 2016
Last Updated: Jul 29, 2024

Practice Location

Address: 2630 CENTRAL AVE
City: Eielson Afb
State: Alaska
ZIP Code: 99702-2301
Phone: (907) 377-6767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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