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DR. MARSHALL LLOYD WADE D.D.S.
NPI 1386606937
Dentist - Oral and Maxillofacial Surgery in Maplewood, MN

Active since April 06, 2006
1560 BEAM AVE STE E, MAPLEWOOD, MN 55109(651) 578-7000(651) 773-9646 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 20, 2017 (3 updates tracked since 2017).

About Dr. Marshall Lloyd Wade D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARSHALL LLOYD WADE D.D.S. (NPI 1386606937) is an individual oral and maxillofacial surgery provider in Maplewood, Minnesota, licensed in Minnesota (D9734) and active in the NPI registry since April 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386606937
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARSHALL LLOYD WADECredential: D.D.S.
Location Address1560 BEAM AVE STE EMaplewood, MN 55109-1171
Mailing Address9950 Valley Creek Rd, Suite100Woodbury, MN 55125-4883 · (651) 578-7000 · Fax (651) 578-0157
Phone(651) 578-7000
Fax(651) 773-9646
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1386606937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MN · D9734
Definition
An oral and maxillofacial surgery dentist specialized in 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.
1560 BEAM AVE STE E, Maplewood, MN 55109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11420 Lake St S Ste 200Forest Lake, MN 55025-2713 · Phone (651) 578-7000 · Fax (651) 464-8013
Location 29950 Valley Creek Rd, Suite100Woodbury, MN 55125-4883 · Phone (651) 578-7000 · Fax (651) 578-0157

Other Identifiers 3

OtherD9734MN · Dental License
Medicaid772822100MN
Other1223S0112XMN · Taxonomy Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL T GALLIVAN RN
Registered Nurse
1560 BEAM AVE STE E
MAPLEWOOD, MN 55109
Ramsey County (651) 578-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Wade's NPI number?

The NPI number for Marshall Wade is 1386606937. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Marshall Wade located?

Marshall Wade practices at 1560 Beam Ave Ste E, Maplewood, MN 55109. The listed phone number is (651) 578-7000.

What is Marshall Wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Marshall Wade accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Marshall Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marshall Wade was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.