NPI 1629133814 · live from the CMS NPI Registry
Andrew B Wade DDS Ms LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Columbus, OH. National Provider Identifier 1629133814, active.
NPI record
| NPI | 1629133814 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5249 West Broad Street, Columbus, OH 43204 |
| Practice phone | 614-878-7887 |
| Enumerated | December 27, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Andrew Wade, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 20722 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.