Wells, Wavel Lou
Wells, Wavel Lou is an sole proprietor health care provider with primary practice located at 4417 W Gore Blvd Ste 11 , Lawton OK 73505-5978. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wells, Wavel Lou can be contacted via phone (580) 248-8418.Contact Information
Primary practice address
4417 W Gore Blvd Ste 11
Lawton OK 73505-5978
Phone: (580) 248-8418
Fax: (580) 248-4118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3494 | Oklahoma |
Profile Details
| NPI number | 1376642041 |
|---|---|
| LBN Legal business name | Wells, Wavel Lou |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 16th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376642041 | NPPES |
| Oklahoma | MEDICAID | 100194430A |
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