Provider Demographics
NPI:1972624724
Name:HOUSEWRIGHT, WADE D (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WADE
Middle Name:D
Last Name:HOUSEWRIGHT
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:404 E MINERAL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2611
Mailing Address - Country:US
Mailing Address - Phone:303-754-0040
Mailing Address - Fax:303-662-0138
Practice Address - Street 1:404 E MINERAL AVE STE B
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2611
Practice Address - Country:US
Practice Address - Phone:303-754-0040
Practice Address - Fax:303-662-0138
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics