L. Brett Wells DDS VI PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

L. BRETT WELLS DDS VI PLLC

Doing business as

Wells Family Dental Group- Gateway Commons

Practice address

911 Gateway Commons Cir Ste 104
Wake Forest, NC 27587-5993

Phone

(919) 263-2294

Fax

(919) 263-2297

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Pope

Title

Director of Insurance

Phone

(919) 266-5332

Specialties & licenses 1

Addresses

Other names 1

• Wells Family Dental Group- Gateway Commons Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Hodgin Jernigan, DMD

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1194454918
  NPD (past)
• Loren B Wells, DDS

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1952500290
  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1255111365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GATEWAY COMMONS CIR STE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875993",
            "telephone_number": "919-263-2294",
            "fax_number": "919-263-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. BRETT WELLS DDS VI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "919-266-5332"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wells Family Dental Group- Gateway Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Niome Krauskopf, MSW
• Kristen Porter, LPC, PLLC
• Abigail Elizabeth Kroner, OTD, OTR/L
• John F Kubiak, LMFT
• Chloe Eileen Kurst, OTR/L
• Laboratory Corporation of America Holdings
• Julie Marie Lajoe, LPC
• Tida Lam, D.O
• Kimberly Jo Lampe, OTR
• Joshua Mark Metzger Lancaster, MD

• General Practice Dentistry in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.