Individual provider · Type 1 NPI
Andrew P. Wightman, DMD
Oral and Maxillofacial Surgery (Dentist) · Tocoma, WA
Practice location
6050 Tacoma Mall Blvd Suite 330
Tocoma, WA 98409
Fax (253) 444-0761
Mailing address
6050 Tacoma Mall Blvd, Suite 330
Tocoma, WA 98409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DE60325350 (WA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1083817878
Andrew P. Wightman, DMD's National Provider Identifier is 1083817878, issued on Jun 8, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tocoma, WA. The record was last updated on Dec 5, 2016.