Provider Demographics
NPI:1366739591
Name:WELLS, NATHANIEL G (DMD)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:G
Last Name:WELLS
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:117 W SEVIER AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3799
Mailing Address - Country:US
Mailing Address - Phone:423-224-3200
Mailing Address - Fax:423-224-3208
Practice Address - Street 1:1930 ALCOA HWY
Practice Address - Street 2:A-335
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1500
Practice Address - Country:US
Practice Address - Phone:865-305-9123
Practice Address - Fax:865-305-4501
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2015-07-02
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Provider Licenses
StateLicense IDTaxonomies
TN100391223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery