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

DR. ETHAN THOMAS SEGERSTROM, DDS

Active

DR. ETHAN THOMAS SEGERSTROM, DDS is a General Dentistry healthcare provider located in NORFOLK, Virginia. NPI 1649162017 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · NORFOLK, VA

Registration Details

NPI Number
1649162017
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2025 (1.0905719458136 yrs)
Last Updated
Jul 18, 2025
License
DDS-10368 (IA)

Practice Information

Address
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA, 235112802
Browse VA providers · Browse ZIP 23511
Phone
7579539000
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in NORFOLK, VA

Name Credential NPI
DR. DAVID A. GLASS DDS 1962407775
DR. SCOTT DAVID THOMAS DDS 1932101557
DR. NANCY LOUISE REEVES D.D.S. 1801875331
DR. JOY MEADE DDS 1255301594
DR. JORGE ALBERTO GRAZIANI DMD 1396715710
DR. JAWDAT A KAYAL DDS 1790756831
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.