David John Wadas, DDS

General Practice Dentistry · Portage, MI

Individual Active NPI

NPI number 1073648978

Practice location

636 E Milham Ave
Portage, MI 49002-1440
Phone
(269) 323-1802
Fax
(269) 323-1940

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NPI record

NPI
1073648978
Entity type
Individual (Type 1)
Enumeration date
February 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901017839 MI

About Dr. Wadas

David John Wadas, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 636 E Milham Ave, Portage, MI 49002-1440. The NPI number 1073648978 was assigned on February 22, 2007 and the record was last updated on July 8, 2007.

Dr. Wadas lists a license in the registry: #2901017839 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David John Wadas, DDS?

The NPI number is 1073648978.

What is the phone number of Dr. Wadas?

The phone number listed for the practice location is (269) 323-1802.

Where is Dr. Wadas located?

636 E Milham Ave, Portage, MI 49002-1440.

What is the taxonomy code for Dr. Wadas?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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