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DR. BYRON MILLARD WADE DDS NPI 1841284684


NPI Information

NPI: 1841284684
Provider Name: DR. BYRON MILLARD WADE, DDS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
307 BOATNER RD
SUITE 114
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-8327
Get Directions

DR. Byron Millard Wade, DDS is a periodontics dentist in Eglin Afb, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Byron Millard Wade, DDS NPI is 1841284684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

307 BOATNER RD
SUITE 114
EGLIN AFB, FL
ZIP 32542-391
Phone: (850) 883-8327
Fax: (850) 883-8328

The enumeration date for this NPI number is 9/8/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics2912-015WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VAD000MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.