Curtis K. Wade, DDS,PS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CURTIS K. WADE, DDS,PS

Practice address

205 W Fairhaven Ave
Suite C
Burlington, WA 98233-1062

Phone

(360) 757-0201

Fax

(360) 757-1990

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Glenda R Gundersen

Title

Office Manager

Phone

(360) 757-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1659820207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE",
            "address_2": "SUITE C",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "360-757-0201",
            "fax_number": "360-757-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W FAIRHAVEN AVE",
            "address_2": "SUITE C",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331062",
            "telephone_number": "360-757-0201",
            "fax_number": "360-757-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS K. WADE, DDS,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "GUNDERSEN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-757-0201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERIODONTICS",
            "identifier": "5108",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Andrew Laurence Cree
• Creelman Family Practice PLLC
• Paul Christopher Creelman, MD
• William Ralph Cummins, MS, CCC-SLP
• Jennifer Cutinho, OD
• Jill T. Czadek, BHA
• Jolanta Czaicka-Kotlarczyk
• Dana Dardis, M.ED. SUDPT
• David Gage DMD PLLC

• Periodontics in Burlington, WA
• Providers in Burlington, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.