Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID WILLIAM WISTROM, DDS
ActiveDR. DAVID WILLIAM WISTROM, DDS is a General Dentistry healthcare provider located in SANTA CRUZ, California. NPI 1083632368 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1083632368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.053077577956 yrs)
- Last Updated
- Aug 25, 2025
- License
-
42785 (CA)
Practice Information
- Address
-
1830 COMMERCIAL WAYSANTA CRUZ, CA, 950651819Browse CA providers · Browse ZIP 95065
- Phone
- 8314645409
- Fax
- 8314645415
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD ROL;AND KUECHLE | D.D.S. | 1144245036 |
| DR. GAYANE MOORADIAN | D.D.S. | 1568484947 |
| KARL MEREDITH BROSE | DDS | 1962410852 |
| DR. FLAVIO CHENG | — | 1427067099 |
| MR. KEVIN D IPPISCH | DDS | 1346250917 |
| DR. ALANA KVICHAK THOMPSON | D.D.S. | 1861402406 |
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.