Wade S Dinse, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025855 Issued in OH

Practice address

7300 N Perimeter Rd
Malmstrom AFB, MT 59402-6701

Phone

(406) 731-2523

NPI assigned

Nov 26, 2019

Last updated

Dec 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1013553882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BEECH DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043509",
            "telephone_number": "937-654-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINSE",
        "first_name": "WADE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Y Corona
• Amber Dawn Dailey, D.D.S.
• Sara Kathryn Daniel, PA-C
• Deborah L Davidson, WHNP
• Andrew Rudolph Edwin Davis, PA-C
• Maggie Lea Dutcher, PA-C
• Rachel Elder, PHARMD
• Paxton Anne Farias, LICSW, MSW, MHP, MPS
• Daniel Ray Fisher
• Tyler Freeman

• General Practice Dentistry in Malmstrom AFB, MT
• Providers in Malmstrom AFB, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.