Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRAD A WAHLSTROM, D.D.S.
Active Sole ProprietorMR. BRAD A WAHLSTROM, D.D.S. is a General Dentistry healthcare provider located in WEST JORDAN, Utah. NPI 1861572455 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WEST JORDAN, UT
Registration Details
- NPI Number
- 1861572455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.839468058802 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4791609 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7089 REDWOOD RDWEST JORDAN, UT, 840843420Browse UT providers · Browse ZIP 84084
- Phone
- 8015663003
- Fax
- 8015681710
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WEST JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. SARAH B NAISBITT | D.D.S. | 1497730022 |
| DR. A. SPENCER THURGOOD | DDS | 1598703308 |
| DR. PETER STEVEN MOORE | DDS | 1730108838 |
| DR. BARTON GIAUQUE PARKER | D.D.S. | 1750303954 |
| DR. ERIC JOHN SWENSEN | DDS | 1841212065 |
| DR. BRADLEY S RIGBY | DMD | 1851314462 |
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.