Liveoak, Talmadge Wade

Liveoak, Talmadge Wade is an individual health care provider with primary practice located at 2227 Drake Ave Sw Suite 10A, Huntsville AL 35805. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Liveoak, Talmadge Wade can be contacted via phone (256) 882-2227.

Contact Information

Primary practice address
2227 Drake Ave Sw Suite 10A Huntsville AL 35805
Phone: (256) 882-2227
Fax: (256) 882-2252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3521 Alabama

Profile Details

NPI number 1922147289
LBN Legal business name Liveoak, Talmadge Wade
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922147289 NPPES
Alabama Other 51094172 BLUE CROSS PROVIDER NUMBE
Alabama Other 872873 BLUE CROSS PROVIDER NUMBE

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