Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396345963 Individual Practitioner Male Practitioner

Dr. Jack Randall Wells , DDS

Dentist • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Dr. Jack Wells, DDS is a registered healthcare professional specializing in Dentist in Albuquerque, NM. Practice services are available at 9201 EAGLE RANCH RD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9201 Eagle Ranch Rd Nw

Albuquerque, NM 871146440

Telephone 5058929010
Associated Practice Facility / Clinic
🏢 Tasker Hatch Rowan Llc Facility NPI 1033381603

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
213 Specialists

Practicing in Albuquerque, NM (630 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: 2023-10-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DB-2023-0092

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CO DEN.00204532

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NV 7425T

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

7610 W Us Highway 50

Salida, CO 812019344

Phone: 7195395440

2436 S Academy Blvd

Colorado Springs, CO 809162408

Phone: 7193912336

Practice Associates & Co-Workers

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

6 Associated Practitioners
Robert Hann

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1144679275
Louis Jackson

Dentist - Pediatric Dentistry

NPI 1285040337
NPI 1386885002

Doctor of Dental Surgery

Dr. Spencer Tasker , DMD

Dentist - Pediatric Dentistry

NPI 1629149851

Doctor of Dental Medicine

NPI 1659770436

Doctor of Dental Medicine

Dr. Jennifer Lapsker , DDS

Dentist - General Practice

NPI 1720307218

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 01, 2023

Registered at 9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 871146440 (Tel: 5058929010)

📍
Updated Practice Location June 22, 2022

Registered at 2436 S ACADEMY BLVD, COLORADO SPRINGS, CO 809162408 (Tel: 7193912336)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2022

Dentist (License #DEN.00204532 in CO)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2020

Dentist (License #7425T in NV)

NPI Profile Active November 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2020

Registered at 6395 S MCCARRAN BLVD STE B, RENO, NV 895096101 (Tel: 7758239419)

📍
Updated Business Mailing Address November 03, 2020

Registered at 1851 STEAMBOAT PKWY UNIT 4801, RENO, NV 895216337 (Tel: 5053638031)

👤
Provider Name / Credentials Updated November 03, 2020

Recorded as JACK WELLS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2020

Dentist (License #DEN.00204532 in CO)

🟢
Initial NPI Registration & Enumeration October 31, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396345963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2020
Last Update: October 01, 2023
Sole Proprietor: Yes

Mailing Address

1851 Steamboat Pkwy Unit 4801

Reno, NV 895216337

Phone: 5053638031

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.