David J. Wadas Dds Pllc in Portage - Dental
David J. Wadas Dds Pllc - NPI 1336274323
David J. Wadas Dds Pllc is a Dental in Portage, Michigan. David J. Wadas Dds Pllc practices all healthcare services and medical treatments related to Dental. The NPI Number for David J. Wadas Dds Pllc is 1336274323. The last update date is 2020-08-22.
David J. Wadas Dds Pllc's current location address is 636 E Milham Ave, Portage, Michigan. You can contact this provider via phone number 2693231802 and fax number 2693231940. The mailing address for David J. Wadas Dds Pllc is 636 E Milham Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David J. Wadas Dds Pllc |
|---|---|
| Address | 636 E Milham Ave, Portage, Michigan |
| Phone Number | 2693231802 |
| Fax Number | 2693231940 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE MEMBE |
|---|---|
| Authorized Official Name | Wadas John David |
| Credentials | DDS |
| Telephone Number | 2693231802 |
NPI Number Detail
| NPI Number | 1336274323 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 636 E Milham Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490021440 |
| Phone Number | 2693231802 |
| Fax Number | 2693231940 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 2901017839 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David J. Wadas Dds Pllc by the Centers for Medicare & Medicaid Services?
The David J. Wadas Dds Pllc has been issued the NPI (National Provider Identifier) 1336274323, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David J. Wadas Dds Pllc?
The David J. Wadas Dds Pllc is situated at 636 E Milham Ave, in the city of Portage, state of MI, with the zip code 490021440.
What is the David J. Wadas Dds Pllc's specialty and taxonomy code?
The David J. Wadas Dds Pllc's specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336274323 to David J. Wadas Dds Pllc?
The David J. Wadas Dds Pllc received its 1336274323 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the information pertaining to David J. Wadas Dds Pllc most recently updated or revised?
The details related to David J. Wadas Dds Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.