Dr. Marvin C Wells
Oral and Maxillofacial Surgeon
4225 Southpoint Pkwy S
Jacksonville
, Florida 32216-0975
Dr. Marvin C Wells
Oral and Maxillofacial Surgeon
4225 Southpoint Pkwy S
Jacksonville
, Florida 32216-0975
(904) 296-8887
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Marvin C Wells
- 4225 Southpoint Pkwy S
- Jacksonville, FL
- Zip : 32216-0975
- Fax : (904) 296-8887
- Phone : (904) 296-2226
Second Address
- Dr. Marvin C Wells
- 4225 Southpoint Pkwy S
- Jacksonville, FL
- Zip : 32216-0975
- Fax : (904) 296-8887
- Phone : (904) 296-2226
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8078 | FL |
National Provider Identifier
| NPI | 1063416055 |
|---|---|
| Provider Name | Dr. Marvin C Wells |
| First Address | Jacksonville, FL 32216-0975 |
| Second Address | Jacksonville, FL 32216-0975 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 01/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 86833 | BLUE CROSS BLUE SHIELD (01) | FL |
| T55297 | (02) | FL |
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.