Individual provider · Type 1 NPI
Christopher Smith Wennerholm
Dental Anesthesiology · Gilbert, AZ
Practice location
2308 E Bonita St
Gilbert, AZ 85296-2743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | D012421 (AZ) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Other dental anesthesiology providers in Gilbert
About NPI 1083364293
Christopher Smith Wennerholm's National Provider Identifier is 1083364293, issued on Mar 29, 2022. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 23, 2026.