Dr. Larry Kevin Wells
Endodontist
1755 Kirby Parkway Suite 103
Memphis
, Tennessee 38120
Dr. Larry Kevin Wells
Endodontist
1755 Kirby Parkway Suite 103
Memphis
, Tennessee 38120
(601) 209-1032
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Larry Kevin Wells
- 104 Island Crest Circle
- Memphis, TN
- Zip : 38103
- Phone : (601) 209-1032
Second Address
- Dr. Larry Kevin Wells
- 1755 Kirby Parkway Suite 103
- Memphis, TN
- Zip : 38120
- Fax : (901) 761-1656
- Phone : (901) 737-1927
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 9126 | TN |
National Provider Identifier
| NPI | 1043432404 |
|---|---|
| Provider Name | Dr. Larry Kevin Wells |
| First Address | Memphis, TN 38103 |
| Second Address | Memphis, TN 38120 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 21/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.