Provider Demographics
NPI:1326881723
Name:WADE FAMILY HOLDINGS LLC
Entity type:Organization
Organization Name:WADE FAMILY HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:276-252-7979
Mailing Address - Street 1:6364 MOOREFIELD STORE RD
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:VA
Mailing Address - Zip Code:24165-3450
Mailing Address - Country:US
Mailing Address - Phone:276-252-7979
Mailing Address - Fax:276-638-2306
Practice Address - Street 1:604 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-3008
Practice Address - Country:US
Practice Address - Phone:276-632-2189
Practice Address - Fax:276-638-2306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental