Individual provider · Type 1 NPI
Marshall Lloyd Wade, DDS
Oral and Maxillofacial Surgery (Dentist) · Maplewood, MN
Practice location
1560 Beam Ave Ste E
Maplewood, MN 55109-1171
Fax (651) 773-9646
Mailing address
9950 Valley Creek Rd, SUITE100
Woodbury, MN 55125-4883
Other practice locations
- 9950 Valley Creek Rd, SUITE100, Woodbury, MN 55125-4883 · (651) 578-7000
- 1420 Lake St S Ste 200, Forest Lake, MN 55025-2713 · (651) 578-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D9734 (MN) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
About NPI 1386606937
Marshall Lloyd Wade, DDS's National Provider Identifier is 1386606937, issued on Apr 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maplewood, MN. The record was last updated on Jul 21, 2022.