Provider Demographics
NPI:1871712703
Name:NAJEM, WADE JOHN II (DDS,MSD)
Entity type:Individual
Prefix:DR
First Name:WADE
Middle Name:JOHN
Last Name:NAJEM
Suffix:II
Gender:M
Credentials:DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-2703
Mailing Address - Country:US
Mailing Address - Phone:330-638-7004
Mailing Address - Fax:330-638-7198
Practice Address - Street 1:210 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-2703
Practice Address - Country:US
Practice Address - Phone:330-638-7004
Practice Address - Fax:330-638-7198
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH191871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics