Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alisa M Nelson-Wade

Individual provider General Practice Dentistry · NPI 1144460668

Dr. Alisa M Nelson-Wade is a General Practice Dentistry in Grayson, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
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Practice location Address checks out

2219 Loganville Hwy Hwy 20
Grayson, GA 30017
Phone: (678) 377-1800
Fax: (678) 377-0740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12336 (GA)

Record details

NPI number1144460668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2009
Last updated in NPPESFebruary 24, 2009

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