Robert Thomas Wade in Clive - Pediatric Dentistry
Robert Thomas Wade - NPI 1306834049
Robert Thomas Wade is a Pediatric Dentistry in Clive, Iowa. Robert Thomas Wade practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert Thomas Wade is 1306834049. The last update date is 2007-07-08.
Robert Thomas Wade's current location address is 12119 Stratford Dr, Clive, Iowa. You can contact this provider via phone number 5152235555 and fax number 5152231799. The mailing address for Robert Thomas Wade is 12119 Stratford Dr, Clive, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Thomas Wade |
|---|---|
| Address | 12119 Stratford Dr, Clive, Iowa |
| Phone Number | 5152235555 |
| Fax Number | 5152231799 |
| Sole Proprietor | X |
| Credentials | MS, DDS |
NPI Number Detail
| NPI Number | 1306834049 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12119 Stratford Dr |
|---|---|
| City | Clive |
| State | Iowa (IA) |
| Post Code | 503258166 |
| Phone Number | 5152235555 |
| Fax Number | 5152231799 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7997 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identifier code issued to Robert Thomas Wade by the Centers for Medicare & Medicaid Services?
The Robert Thomas Wade has been assigned the NPI (National Provider Identifier) 1306834049. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert Thomas Wade located?
The Robert Thomas Wade is located at 12119 Stratford Dr, Clive, IA 503258166.
What is Robert Thomas Wade's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Thomas Wade is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Robert Thomas Wade receive its 1306834049 assignment from the Centers for Medicare & Medicaid Services?
The Robert Thomas Wade was assigned its 1306834049 by the Centers for Medicare & Medicaid Services on 2005-10-06.
When was the information regarding Robert Thomas Wade most recently updated?
The details pertaining to the Robert Thomas Wade, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.