Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114470580 Individual Practitioner Male Practitioner

Dr. Jeremy Mantle Wells , DDS

Dentist • Eielson Afb, AK

Professional Overview & Biography Verified Profile Summary

Dr. Jeremy Wells, DDS is a registered healthcare professional specializing in Dentist in Eielson Afb, AK. Practice services are available at 2630 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2630 Central Ave

Eielson Afb, AK 997022301

Telephone 9073776767
Associated Practice Facility / Clinic
🏢 354th Medgrp-Eielson Facility NPI 1902867229

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eielson Afb, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Eielson Afb, AK (376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License UT 12590570-9926

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1154703155

Doctor of Dental Surgery

Jessica Castro

Dental Assistant

NPI 1265016273
Danielle Lawson

Dental Hygienist

NPI 1295339919
Stephanie Rowe

Dental Assistant

NPI 1346840329
Alyssa Bishofsky

Dental Hygienist

NPI 1417542457
Tara Dillow

Dental Assistant

NPI 1548809379

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 29, 2024

Registered at 2630 CENTRAL AVE, EIELSON AFB, AK 997022301 (Tel: 9073776767)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2024

Dentist (License #12590570-9926 in UT)

📍
Updated Practice Location August 07, 2023

Registered at 1615 TRUEMPER ST, JBSA LACKLAND, TX 782365511 (Tel: 2102920123)

📍
Updated Business Mailing Address August 07, 2023

Registered at 1615 TRUEMPER ST, JBSA LACKLAND, TX 782365511 (Tel: 2102920123)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2023

Dentist (License #12590570-9921 in UT)

📍
Updated Practice Location April 17, 2018

Registered at 49TH MEDICAL GROUP/SGPD, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 883308273 (Tel: 5755723742)

📍
Updated Business Mailing Address April 17, 2018

Registered at 49TH MEDICAL GROUP/SGPD, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 883308273 (Tel: 5755723742)

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2016

Registered at 151 BODIN CIR, TRAVIS AFB, CA 945351801 (Tel: 7074237008)

📍
Updated Business Mailing Address August 02, 2016

Registered at 151 BODIN CIR, TRAVIS AFB, CA 945351801

👤
Provider Name / Credentials Updated August 02, 2016

Recorded as JEREMY WELLS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Dentist (License #DE60667596 in WA)

🟢
Initial NPI Registration & Enumeration August 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jeremy Wells. Be the first to share your experience!

Sign in to leave a review for Dr. Jeremy Wells

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114470580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2016
Last Update: July 29, 2024
Sole Proprietor: No

Mailing Address

1615 Truemper St

Jbsa Lackland, TX 782365511

Phone: 2102920123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.