Organization Active NPI

Wavel L. Wells, DDS, Inc

  • General Practice Dentistry
  • Lawton, OK
National Provider Identifier
1457448698
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1073 Issued in OK
Legal business name
WAVEL L. WELLS, DDS, INC
Practice address
4417 W Gore Blvd
Suite 11
Lawton, OK 73505-5978
Phone
(580) 248-8418
Fax
(580) 248-4118
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Wavel Lou Wells, DDSNPI 1376642041
Title
Ceo/President
Phone
(580) 248-8418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1073 OK Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 3494 OK
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 4781 OK

Addresses

Primary practice location

4417 W Gore Blvd
Suite 11
Lawton, OK 73505-5978

Mailing address

4417 W Gore Blvd
Suite 11
Lawton, OK 73505-5978
Phone (580) 248-8418

National Provider Directory

National Provider Directory

Locations

4417 W Gore Blvd
Ste 11
Lawton, OK 73505
Phone (580) 248-8418

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457448698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 W GORE BLVD",
            "address_2": "SUITE 11",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055978",
            "telephone_number": "580-248-8418",
            "fax_number": "580-248-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 W GORE BLVD",
            "address_2": "SUITE 11",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055978",
            "telephone_number": "580-248-8418",
            "fax_number": "580-248-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVEL L. WELLS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WAVEL",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "580-248-8418",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "1073",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "3494",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "4781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.