Dr M Wade Rallison, DDS is a
Dentist - Pediatric Dentistry based in Washington Terrace, Utah. Dr M Wade Rallison is licensed to practice in Utah (license number 5118697-9923) and his current practice location is
5275 S. Adams Ave., Suite C, Washington Terrace, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 475-6433.
NPI number for Dr M Wade Rallison is 1548426851 and his current mailing address is 5275 S. Adams Ave., Suite C, Washington Terrace, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548426851.
Healthcare Provider's Profile
Full Name | Dr M Wade Rallison |
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Gender | Male |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 5275 S. Adams Ave., Suite C, Washington Terrace, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548426851
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 06/22/2011
Medical Identifiers
Medical identifiers for Dr M Wade Rallison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548426851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | 5118697-9923 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr M Wade Rallison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr M Wade Rallison, DDS 5275 S. Adams Ave., Suite C, Washington Terrace, UT 84405 Ph: (801) 475-6433 | Dr M Wade Rallison, DDS 5275 S. Adams Ave., Suite C, Washington Terrace, UT 84405 Ph: (801) 475-6433 |
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