David Wells, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1563972 Issued in GA

Practice address

25 Foothills Pkwy
Suite 101
Marble Hill, GA 30148-2261

Phone

(770) 893-2340

Fax

(770) 893-2342

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foothills Dental, P.C.

  dba Foothills Dental Associates

  • General Practice Dentistry
  • Marble Hill, GA
  • NPI 1942976386
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205951167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 101",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-893-2340",
            "fax_number": "770-893-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "SUITE 101",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-893-2340",
            "fax_number": "770-893-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN1563972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie L. Loscavio, ED.D.
• Darrell Morton, DMD
• Barbara Peterson, MHA, MA, CCC-SLP
• Physical Medicine Centers of America LLC
• Rebecca F. Stephens, PH.D.

• General Practice Dentistry in Marble Hill, GA
• Providers in Marble Hill, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.