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Deactivated NPI 1215920897 Deactivated / Inactive NPI Male Practitioner

Dr. Herbert Leonidas Wade , DDS

Dentist - Pediatric Dentistry • Bryan, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Herbert Wade has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Wade, DDS was a registered Dentist - Pediatric Dentistry practicing in Bryan, TX. Throughout an active medical career spanning 1 years, Dr. Wade provided care at the practice location at 1326 MEMORIAL DR until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

1326 Memorial Dr

Bryan, TX 778025215

Telephone 9797768100
Fax 9797768123
Associated Practice Facility / Clinic
🏢 Brian Barras, Dds, Ms, Pllc Facility NPI 1073955969

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Bryan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Bryan, TX (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 9131

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. John Case , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1033102611

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated February 03, 2022

Record deactivated on February 03, 2022

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Updated Practice Location July 08, 2007

Registered at 1326 MEMORIAL DR, BRYAN, TX 778025215 (Tel: 9797768100)

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Updated Business Mailing Address July 08, 2007

Registered at 1326 MEMORIAL DR, BRYAN, TX 778025215 (Tel: 9797768100)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HERBERT WADE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9131 in TX)

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NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215920897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2005
Last Update: July 08, 2007
Deactivation Date: March 23, 2006

Mailing Address

1326 Memorial Dr

Bryan, TX 778025215

Phone: 9797768100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.