Wade, Kristin Melissa

Wade, Kristin Melissa is an individual health care provider with primary practice located at 409 W Main St , Payson AZ 85541-5487. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wade, Kristin Melissa can be contacted via phone (928) 472-8400.

Contact Information

Primary practice address
409 W Main St Payson AZ 85541-5487
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7822 Arizona

Profile Details

NPI number 1245469733
LBN Legal business name Wade, Kristin Melissa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Jul 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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