Organization
TIMOTHY R. WADE, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R WADE DDS (OWNER/DENTIST)
(540) 234-8686
Entity
Organization
Contact information
Practice address
1151 KEEZLETOWN RD, WEYERS CAVE, VA 24486-2337
(540) 234-8686
(540) 234-8686
Mailing address
PO BOX 149, WEYERS CAVE, VA 24486-0149
(540) 234-8686
(540) 234-8686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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