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Dr. Marshall Lloyd Wade, DDS
Oral and Maxillofacial Surgery (Dentist) in Maplewood, Minnesota
NPI 1386606937

Marshall Lloyd Wade is a Oral and Maxillofacial Surgery (Dentist) based in Woodbury, MN and is specialized in Oral and Maxillofacial Surgery. Marshall Lloyd Wade practices in Maplewood, MN and has the professional credentials of DDS. The NPI Number for Marshall Lloyd Wade is 1386606937 and holds a License No. D9734 (Minnesota).

The current practice location address for Marshall Lloyd Wade is 1560 Beam Ave Ste E, Maplewood, MN and can be reached out via phone at 651-578-7000 and via fax at 651-773-9646. You can also correspond with Marshall Lloyd Wade through the mailing address at 9950 VALLEY CREEK RD, WOODBURY, MN - 55125-4883 (mailing address contact number: 651-578-7000).

Location: 1560 Beam Ave Ste E, Maplewood, MN, 55125-4883
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Provider Profile Details
NPI Number
1386606937
Provider Name
Marshall Lloyd Wade
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1560 Beam Ave Ste E, Maplewood, MN, 55125-4883
Phone Number
651-578-7000
Fax Number
651-773-9646
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1223S0112X 01 MN TAXONOMY NUMBER
D9734 01 MN DENTAL LICENSE
772822100 05 MN
institution
Provider Business Practice Location Address Details
Address
1560 Beam Ave Ste E
City
State
Zip
55109-1171
Phone Number
651-578-7000
Fax Number
651-773-9646
person
Provider Business Mailing Address Details
Address
1560 Beam Ave Ste E
City
State
Zip
55109-1171
Phone Number
651-578-7000
Fax Number
651-773-9646
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
D9734 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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