Individual
DR. TIMOTHY R WADE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
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
5379
VA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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