Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK RANDALL WELLS JR., DDS
Active Sole ProprietorDR. JACK RANDALL WELLS JR., DDS is a Dentist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1396345963 is currently active in the NPPES registry. Verify at CMS.
Dentist · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1396345963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2020 (5.7684712050919 yrs)
- Last Updated
- Oct 1, 2023
- Licenses
-
DEN.00204532 (CO)7425T (NV)DB-2023-0092 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9201 EAGLE RANCH RD NWALBUQUERQUE, NM, 871146440Browse NM providers · Browse ZIP 87114
- Phone
- 5058929010
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Dentist
Other Dentist Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| JONATHAN Y CHIANG | DDS | 1598768129 |
| DR. PAUL MARTIN CLIFFORD | DDS | 1134124126 |
| DR. ALICIA ANN ABEYTA | DDS | 1942298047 |
| DR. CLIFFORD FREIDLINE | DDS | 1154310928 |
| CHARLES E TILSON | DMD | 1619966314 |
| BRENTON MATTHEW MASON | DMD | 1336138031 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.