| Dr Marshall Lloyd Wade, DDS | |
|
1560 Beam Ave Ste E, Maplewood, MN 55109-1171 | |
| (651) 578-7000 | |
| (651) 773-9646 |
| Full Name | Dr Marshall Lloyd Wade |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1560 Beam Ave Ste E, Maplewood, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386606937 | NPI | - | NPPES |
| 1223S0112X | Other | MN | TAXONOMY NUMBER |
| D9734 | Other | MN | DENTAL LICENSE |
| 772822100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D9734 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marshall Lloyd Wade, DDS 9950 Valley Creek Rd, Suite100, Woodbury, MN 55125-4883 Ph: (651) 578-7000 | Dr Marshall Lloyd Wade, DDS 1560 Beam Ave Ste E, Maplewood, MN 55109-1171 Ph: (651) 578-7000 |
Dr. Rajdeep Batth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1670 Beam Ave Ste 204, Maplewood, MN 55109 Phone: 651-925-8423 Fax: 651-773-7568 | |
John Keith Schulte, DDS,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1774 Cope Ave E, Suite 140, Maplewood, MN 55109 Phone: 651-770-1612 Fax: 651-748-3704 | |
Xue Wang, Dentist Medicare: Medicare Enrolled Practice Location: 1670 Beam Ave Ste 204, Maplewood, MN 55109 Phone: 651-925-8423 | |
Mr. Eugene Justin Gomes Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1866 Beam Avenue, Maplewood, MN 55109 Phone: 651-774-7144 Fax: 651-770-0560 | |
Derrick John Veneman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1774 Cope Ave E Ste 110, Maplewood, MN 55109 Phone: 651-770-7175 Fax: 651-770-6109 | |
Dr. Chia Wam Moua, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1670 Beam Ave Ste 204, Maplewood, MN 55109 Phone: 651-925-8416 | |
Dr. Jana Lynne Voss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109 Phone: 651-770-7585 Fax: 651-770-6021 |