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DR. JENNIFER BOYLAND WADE D.D.S.
NPI 1891227096
Dentist - General Practice in Charleston, SC

Active since March 28, 2017Opted out of Medicare · through Apr 29, 2027
2090 CHARLIE HALL BLVD STE 100, CHARLESTON, SC 29414(437) 667-1318 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2021, Mar 28, 2017 (2 updates tracked since 2017).

About Dr. Jennifer Boyland Wade D.d.s. NPPES

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

DR. JENNIFER BOYLAND WADE D.D.S. (NPI 1891227096) is an individual general practice provider in Charleston, South Carolina, licensed in South Carolina (8333) and active in the NPI registry since March 2017. She has opted out of Medicare through April 29, 2027.

NPPES Registry Identity

NPI1891227096
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER BOYLAND WADECredential: D.D.S.
Location Address2090 CHARLIE HALL BLVD STE 100Charleston, SC 29414-8200
Mailing Address6 Doughty St, Apt. ACharleston, SC 29403-5858 · (540) 230-1237
Phone(437) 667-1318
Sole ProprietorYes
Enumeration DateMarch 28, 2017
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1891227096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 8333
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2090 CHARLIE HALL BLVD STE 100, Charleston, SC 29414
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Other Names 1

Former Name (1)Dr. Jennifer Leigh Boyland D.d.s.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer Boyland Wade D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2021 through April 29, 2027.

Opt-Out Effective DateApril 29, 2021
Opt-Out In Effect ThroughApril 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. CALEB POSTON D.M.D.
Dentist
2090 CHARLIE HALL BLVD STE 100
CHARLESTON, SC 29414
Charleston County (843) 766-7131

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 Jennifer Wade's NPI number?

The NPI number for Jennifer Wade is 1891227096. It was assigned to this individual provider in the NPPES registry on March 28, 2017. The provider is also known as Dr. Jennifer Leigh Boyland D.D.S..

Where is Jennifer Wade located?

Jennifer Wade practices at 2090 Charlie Hall Blvd Ste 100, Charleston, SC 29414. The listed phone number is (437) 667-1318.

What is Jennifer Wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Wade enrolled in Medicare?

No. Jennifer Wade has opted out of Medicare through April 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Wade was last updated on September 23, 2021. 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.