Keith Wade, DMD
Dentist, General Practice in Bethlehem, Connecticut
1649304361- Practice location
- 101 Main St S, Box 640, Bethlehem, CT 06751-2032
- Phone
- 203-266-7435
- Fax
- 203-266-5100
- Last updated
- July 8, 2007
Keith Wade is a Dentist, General Practice based in Bethlehem, CT. Keith Wade practices in Bethlehem, CT and has the professional credentials of DMD. The NPI Number for Keith Wade is 1649304361 and holds a License No. 7350 (CT). The current practice location address for Keith Wade is 101 Main St S, Box 640, Bethlehem, CT 06751-2032 and can be reached out via phone at 203-266-7435 and via fax at 203-266-5100.
Provider Profile Details
- NPI Number
- 1649304361
- Provider Name
- Keith Wade
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 101 Main St S, Box 640, Bethlehem, CT 06751-2032
- Phone Number
- 203-266-7435
- Fax Number
- 203-266-5100
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 15, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Main St S
Box 640
Bethlehem, CT 06751-2032 - City
- Bethlehem
- State
- Connecticut
- Zip
- 06751-2032
- Phone Number
- 203-266-7435
- Fax Number
- 203-266-5100
Provider Business Mailing Address Details
- Address
- 101 Main St S
Box 640
Bethlehem, CT 06751-2032 - City
- Bethlehem
- State
- CT
- Zip
- 06751-2032
- Phone Number
- 203-266-7435
- Fax Number
- 203-266-5100
License Information
- License Number
- 7350
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Keith Wade, DMD?
The NPI number of Keith Wade, DMD is 1649304361. It was assigned on March 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Keith Wade, DMD?
Keith Wade, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7350.
Where does Keith Wade, DMD practice?
The practice location is 101 Main St S, Box 640, Bethlehem, CT 06751-2032. The office can be reached at 203-266-7435 (phone) or 203-266-5100 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649304361 directly on the NPPES registry website.