IndividualActive
Byron Wade, DDS
NPI 1841284684 · Periodontics · Eglin Afb, FL
Provider details
- NPI number
- 1841284684
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 2912-015 (WI)
Specialties & taxonomies
Dental Providers
Practice location
307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391
Phone: (850) 883-8327
Fax: (850) 883-8328
Approximate (ZIP-level) locationGet directions
Mailing address
307 Boatner Rd
Eglin Afb, FL 32542-1391
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.