Wade Family Dental

LBN: Wade Family Dental
Wade Family Dental is an health care organization with primary practice located at 1547 E Racine Ave , Waukesha WI 53186-6826. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Wade Family Dental can be contacted via phone (262) 542-4466, or through Wade, Donald John via phone (262) 542-4466.

Contact Information

Primary practice address
1547 E Racine Ave Waukesha WI 53186-6826
Phone: (262) 542-4466
Fax: (262) 542-6105
Website:
Map and Directions
Authorized official contact:
Name: Wade, Donald John Doctor of Dental Surgery (DDS)
Phone: (262) 542-4466

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X W3829 Wisconsin

Profile Details

NPI number 1871952820
LBN Legal business name Wade Family Dental
DBA Doing business as
Authorized official Wade, Donald John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2016
Last updated Feb 18th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871952820 NPPES
Wisconsin MEDICAID 33684200

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