Mitzi M. Wade, DDS

General Practice Dentistry · Cullman, AL

Individual Active NPI

NPI number 1124203013

Practice location

2016 Main Ave SW
Cullman, AL 35055-5239
Phone
(256) 775-0230
Fax
(256) 735-0943

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NPI record

NPI
1124203013
Entity type
Individual (Type 1)
Enumeration date
January 9, 2008
Last updated
March 29, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5792 AL
Dentist 122300000X 8793 TN

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone
(256) 492-0131

About Dr. Wade

Mitzi M. Wade, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2016 Main Ave SW, Cullman, AL 35055-5239. The NPI number 1124203013 was assigned on January 9, 2008 and the record was last updated on March 29, 2011.

Dr. Wade lists 2 licenses in the registry: #5792 (AL) for General Practice Dentistry; #8793 (TN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitzi M. Wade, DDS?

The NPI number is 1124203013.

What is the phone number of Dr. Wade?

The phone number listed for the practice location is (256) 775-0230.

Where is Dr. Wade located?

2016 Main Ave SW, Cullman, AL 35055-5239.

What is the taxonomy code for Dr. Wade?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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