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DR. JEREMY MANTLE WELLS D.D.S.
NPI 1114470580
Dentist in Eielson Afb, AK

Active since August 02, 2016
2630 CENTRAL AVE, EIELSON AFB, AK 99702(907) 377-6767 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Aug 7, 2023, Apr 17, 2018 (3 updates tracked since 2018).

About Dr. Jeremy Mantle Wells D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY MANTLE WELLS D.D.S. (NPI 1114470580) is an individual dentist in Eielson Afb, Alaska, licensed in Utah (12590570-9926) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1114470580
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEREMY MANTLE WELLSCredential: D.D.S.
Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301
Mailing Address1615 Truemper StJbsa Lackland, TX 78236-5511 · (210) 292-0123
Phone(907) 377-6767
Sole ProprietorNo
Enumeration DateAugust 2, 2016
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1114470580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 12590570-9926
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2630 CENTRAL AVE, Eielson Afb, AK 99702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY GENE BROOME PHYSICIAN ASSISTANT
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 337-6737
NATALIE ELAINE PETER LISW
Social Worker (Clinical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-3071
NICOLE ANNE SOTO
Nurse Practitioner (Pediatrics)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough No phone listed
MATTHEW GRAY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (931) 220-2210
CAMVY VICTORIA PHAN DO
Pediatrics
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6455
GENESIS Y VELASQUEZ
Nurse Practitioner (Family)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6980
NICHOLE KILINC PA-C
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-1847
DR. MATTHEW GRAY CORBIN DDS
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Wells's NPI number?

The NPI number for Jeremy Wells is 1114470580. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Jeremy Wells located?

Jeremy Wells practices at 2630 Central Ave, Eielson Afb, AK 99702. The listed phone number is (907) 377-6767.

What is Jeremy Wells's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jeremy Wells was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.