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Dr. Wavel Lou Wells, DDS
Pediatric Dentist in Lawton, Oklahoma
NPI 1376642041

Wavel Lou Wells is a Pediatric Dentist based in Lawton, OK and is specialized in Pediatric Dentistry. Wavel Lou Wells practices in Lawton, OK and has the professional credentials of DDS. The NPI Number for Wavel Lou Wells is 1376642041 and holds a License No. 3494 (Oklahoma).

The current practice location address for Wavel Lou Wells is 4417 W Gore Blvd Ste 11, Lawton, OK and can be reached out via phone at 580-248-8418 and via fax at 580-248-4118. You can also correspond with Wavel Lou Wells through the mailing address at 4417 W GORE BLVD, LAWTON, OK - 73505-5978 (mailing address contact number: 580-248-8418).

Location: 4417 W Gore Blvd Ste 11, Lawton, OK, 73505-5978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376642041
Provider Name
Wavel Lou Wells
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4417 W Gore Blvd Ste 11, Lawton, OK, 73505-5978
Phone Number
580-248-8418
Fax Number
580-248-4118
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100194430A 05 OK
institution
Provider Business Practice Location Address Details
Address
4417 W Gore Blvd Ste 11
City
Lawton
State
Oklahoma
Zip
73505-5978
Phone Number
580-248-8418
Fax Number
580-248-4118
person
Provider Business Mailing Address Details
Address
4417 W Gore Blvd Ste 11
City
Lawton
State
Oklahoma
Zip
73505-5978
Phone Number
580-248-8418
Fax Number
580-248-4118
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3494 (Oklahoma)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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