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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRISTOPHER SMITH WENNERHOLM

Active Sole Proprietor

CHRISTOPHER SMITH WENNERHOLM is a 1223D0004X healthcare provider located in GILBERT, Arizona. NPI 1083364293 is currently active in the NPPES registry. Verify at CMS.

1223D0004X · GILBERT, AZ

Registration Details

NPI Number
1083364293
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2022 (4.3572691181904 yrs)
Last Updated
Jan 23, 2026
License
D012421 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2308 E BONITA ST
GILBERT, AZ, 852962743
Browse AZ providers · Browse ZIP 85296
Phone
4802049392
Primary Specialty
1223D0004X
1223D0004X

Other 1223D0004X Providers in GILBERT, AZ

Name Credential NPI
DR. M. TODD CHRISTENSEN DMD 1851470264
DR. JASON WAYNE BRADY DMD 1841553120
JOSHUA CLAY BASHA D.M.D. 1346794336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.