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

NPI Status: Active since August 02, 2016

Contact Information

2630 CENTRAL AVE
EIELSON AFB, AK
ZIP 99702
Phone: (907) 377-6767

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  • Individual
  • Male
  • Dentist

About JEREMY WELLS

This page provides the complete NPI Profile along with additional information for Jeremy Wells, a provider established in Eielson Afb, Alaska with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1114470580 assigned on August 2016. The practitioner's primary taxonomy code is 122300000X with license number 12590570-9926 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1114470580
Provider Name
DR. JEREMY MANTLE WELLS D.D.S.
Gender
Male
Entity Type
Individual
Location Address
2630 CENTRAL AVE EIELSON AFB, AK 99702
Location Phone
(907) 377-6767
Mailing Address
1615 TRUEMPER ST JBSA LACKLAND, TX 78236
Mailing Phone
(210) 292-0123
Is Sole Proprietor?
No
Enumeration Date
08-02-2016
Last Update Date
07-29-2024
Code Navigator

A dentist like Jeremy Wells is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
12590570-9926
License State
UT
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114470580
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124870516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 7 + 0 + 5 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114470580 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598732364DR. THERESA ANN LAWSON PH.D.
Individual
Psychologist (Counseling)2630 CENTRAL AVE LIFE SKILLS SUPPORT CENTER
EIELSON AFB, AK 99702
(907) 377-3071
1275502312 JOLANDA JEANETTE COOK L.C.S.W.
Individual
Social Worker (Clinical)2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-4041
1477512853DR. HOLLY VOKOUN ELLENBERGER D.M.D.
Individual
Dentist (General Practice)2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6744
1316965957MRS. KAREN L MEDBURY MSW, LCSW
Individual
Social Worker (Clinical)2630 CENTRAL AVE SUITE 1
EIELSON AFB, AK 99702
(907) 377-4727
1851534184 ANGELIA DEANNE CALDER EMT-B, PHTLS, ACLS,
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6629
1982830287MRS. JULIANNE MARIE LUJAN IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2630 CENTRAL AVE 354 MDOS FLIGHT MEDICINE CLINIC
EIELSON AFB, AK 99702
(907) 377-4326
1821225913MR. ALTON E DOE JR. IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2630 CENTRAL AVE STE 1
EIELSON AFB, AK 99702
(907) 377-4326
1710214382 STACEY R. SCHMITT LCSW
Individual
Social Worker (Clinical)2630 CENTRAL AVE MENTAL HEALTH CLINIC AND FAMILY ADVOCACY PROGRAM
EIELSON AFB, AK 99702
(907) 377-4041
1578545109DR. ROBERT GREG PATTERSON M.D.
Individual
Family Medicine2630 CENTRAL AVE SUITE 1M07
EIELSON AFB, AK 99702
(907) 377-1847
1255404752DR. RENEE LORAINE HORNSBY PHARM.D
Individual
Pharmacist2630 CENTRAL AVE SUITE 200
EIELSON AFB, AK 99702
(907) 377-1462
1154703155DR. MATTHEW GRAY CORBIN DDS
Individual
Dentist2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6767
1104393446 MATTHEW GRAY IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2630 CENTRAL AVE
EIELSON AFB, AK 99702
(931) 220-2210
1699193318 AMY ELIZABETH VAGEDES
Individual
Pediatrics2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6455
1639724636 SANDRA MUNIZ LPN
Individual
Licensed Practical Nurse2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6526
1912546524 SUSAN LIEBIG RDH
Individual
Dental Hygienist2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6767
1578189387 ERIC DYLAN MASON IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6610
1689274664 BRADLEY MARTIN
Individual
Dental Hygienist2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6670
1891395802 KALEB HATFIELD
Individual
Dental Hygienist2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6767
1346840329 STEPHANIE DANIELLE ROWE
Individual
Dental Assistant2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6767
1851991855 CODY SCOTT LEMON
Individual
Dental Hygienist2630 CENTRAL AVE
EIELSON AFB, AK 99702
(907) 377-6767

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114470580, enumerated in the NPI registry as an "individual" on August 02, 2016

The provider is located at 2630 Central Ave Eielson Afb, Ak 99702 and the phone number is (907) 377-6767

The provider's speciality is Dentist with taxonomy code 122300000X

This NPI record was last updated on August 02, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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