Wade Larry Haslam in Corvallis - Orthodontics And Dentofacial Orthopedics
Wade Larry Haslam - NPI 1154540854
Wade Larry Haslam is a Orthodontics And Dentofacial Orthopedics in Corvallis, Oregon. Wade Larry Haslam practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Wade Larry Haslam is 1154540854. The last update date is 2007-07-08.
Wade Larry Haslam's current location address is 2657 Nw Rolling Green Dr, Corvallis, Oregon. You can contact this provider via phone number 5417572440 and fax number 5417389437. The mailing address for Wade Larry Haslam is 2657 Nw Rolling Green Dr, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wade Larry Haslam |
|---|---|
| Address | 2657 Nw Rolling Green Dr, Corvallis, Oregon |
| Phone Number | 5417572440 |
| Fax Number | 5417389437 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1154540854 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2657 Nw Rolling Green Dr |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973303519 |
| Phone Number | 5417572440 |
| Fax Number | 5417389437 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D6961 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the Wade Larry Haslam's 1154540854?
The Wade Larry Haslam's NPI (National Provider Identifier) Number is 1154540854. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Wade Larry Haslam?
The Wade Larry Haslam is situated at 2657 Nw Rolling Green Dr, in the city of Corvallis, state of OR, with the zip code 973303519.
What is Wade Larry Haslam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wade Larry Haslam is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
When did the Wade Larry Haslam receive its 1154540854?
The Wade Larry Haslam was issued its 1154540854 on 2007-04-24, which is the date when the organization was assigned this unique identifier.
When was the information regarding Wade Larry Haslam most recently updated?
The details pertaining to the Wade Larry Haslam, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1316940851
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