JOE L. WELLS, JR., DDS PC (NPI# 1588740468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588740468 |
Entity Type | Organization |
Organization Name | JOE L. WELLS, JR., DDS PC |
Practice Address |
4324 Covington Highway Decatur GA 30035 |
Mailing Address |
Po Box 736 Lithonia GA 30058 |
Practice Telephone | 4042896454 |
Mailing Telephone | 4042896454 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOE L. WELLS JR. (OWNER) |
Authorized Official Telephone | 4042896454 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
010527 | GA | Ambulatory Health Care Facilities |
Street Address |
4324 COVINGTON HIGHWAY |
City | DECATUR |
State | GA |
Zip Code | 30035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770682502 | Peter Neal Richards | Dentist | 4324 Covington Highway, Decatur, GA 30035 | 2006-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
Find all providers in zip 30035 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801374871 | Stephanie W Teichmiler Dmd PC | Clinic/Center | 1316 Somerville Rd Se Ste 2, Decatur, AL 35601-4309 | 2018-08-01 |
1073985925 | Decatur Dental, LLC | Clinic/Center | 68 Fourth Ave, Decatur, MS 39327-9713 | 2015-10-30 |
1376929984 | The Pacific Coast Group | Clinic/Center | 2883 North Decatur Rd., Suite F, Decatur, GA 30033 | 2015-08-05 |
1649836065 | Sven Hoge, Dmd, Pllc | Clinic/Center | 501 S Washburn St, Decatur, TX 76234-1637 | 2019-05-10 |
1396213039 | Devan Dental LLC | Clinic/Center | 4806 Flat Shoals Pkwy, Decatur, GA 30034-5205 | 2018-11-12 |
1104248137 | Chapel Hill Orthodontics | Clinic/Center | 4919 Flat Shoals Pkwy, 210, Decatur, GA 30034-5210 | 2014-01-10 |
1295060903 | Kevin M. Artime Dmd Ltd | Clinic/Center | 1353 E Mound Rd, Suite 102, Decatur, IL 62526-9345 | 2009-10-14 |
1942535091 | Cassandra G. Brackett, D.d.s.,p.c. | Clinic/Center | 3300 Memorial Dr, Suite D-3, Decatur, GA 30032-2700 | 2009-10-07 |
1568621274 | Kevin F Magid Dds PC | Clinic/Center | 814 Church St, Decatur, GA 30030 | 2008-06-06 |
1811169014 | Paul Lyle Glasser Dds, PC | Clinic/Center | 5243 Snapfinger Woods Dr, Suite 107, Decatur, GA 30035-4000 | 2008-03-27 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.