DAVID J. WADAS DDS PLLC NPI 1336274323

NPI Information

NPI: 1336274323
Provider Name: DAVID J. WADAS DDS PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
636 E MILHAM AVE
PORTAGE, MI
ZIP 49002
Phone: (269) 323-1802
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DAVID J. WADAS DDS PLLC is a dental clinic center in Portage, MI. DAVID J. WADAS DDS PLLC NPI is 1336274323. The provider is registered as an organization entity type.

The provider's business location address is:

636 E MILHAM AVE
PORTAGE, MI
ZIP 49002-440
Phone: (269) 323-1802
Fax: (269) 323-1940

The provider's authorized official is David John Wadas .
The authorized official title is Sole Member and has the following contact phone number (269) 323-1802.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2901017839	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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