Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

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

Practice location Address checks out

2219 Loganville Hwy Hwy 20
Grayson, GA 30017 Not confirmed with CMS for 17 years — call before visiting
Phone: (678) 377-1800
Fax: (678) 377-0740
Show map & directions

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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