Mitzi M. Wade is a General Practice in Cullman, Alabama. Mitzi M. Wade practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mitzi M. Wade is 1124203013. The last update date is 2011-03-29.
Mitzi M. Wade's current location address is 2016 Main Ave Sw, Cullman, Alabama. You can contact this provider via phone number 2567750230 and fax number 2567350943. The mailing address for Mitzi M. Wade is 2016 Main Ave Sw, Cullman, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitzi M. Wade |
|---|---|
| Address | 2016 Main Ave Sw, Cullman, Alabama |
| Phone Number | 2567750230 |
| Fax Number | 2567350943 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124203013 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2011-03-29 |
Provider Mailing Address Detail
| Address | 2016 Main Ave Sw |
|---|---|
| City | Cullman |
| State | Alabama (AL) |
| Post Code | 350555239 |
| Phone Number | 2567750230 |
| Fax Number | 2567350943 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5792 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122617 | AL | -- | |
| 122611 | AL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mitzi M. Wade?
The Mitzi M. Wade has been issued the NPI (National Provider Identifier) 1124203013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mitzi M. Wade is located?
The Mitzi M. Wade is situated at the following address: 2016 Main Ave Sw, Cullman, AL, 350555239.
What is Mitzi M. Wade's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mitzi M. Wade's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Mitzi M. Wade receive its 1124203013 assignment from the Centers for Medicare & Medicaid Services?
The Mitzi M. Wade was assigned its 1124203013 by the Centers for Medicare & Medicaid Services on 2008-01-09.
When was the information pertaining to Mitzi M. Wade most recently updated or revised?
The details related to Mitzi M. Wade, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-29.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN