DR. BYRON MILLARD WADE DDS - NPI 1841284684

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Dr. Byron Millard Wade Dds NPPES

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

DR. BYRON MILLARD WADE DDS (NPI 1841284684) is an individual periodontics provider in Eglin Afb, Florida, licensed in Wisconsin (2912-015) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1841284684

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. BYRON MILLARD WADECredential: DDS

Location Address307 BOATNER RD, SUITE 114Eglin Afb, FL 32542-1391

Mailing Address307 Boatner Rd, Suite 114Eglin Afb, FL 32542-1391 · (850) 883-8327 · Fax (850) 883-8328

Phone(850) 883-8327

Fax(850) 883-8328

Sole ProprietorNo

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1841284684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in WI · 2912-015

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

307 BOATNER RD, Eglin Afb, FL 32542

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