Individual provider · Type 1 NPI

Kurt David Wallin, DMD

Periodontics · Tucson, AZ

NPI number 1164716783 Active

Practice location

2934 W Ina Rd
Tucson, AZ 85741-2110

Call (480) 432-2000 Map

Mailing address

3648 E Janelle Way
Gilbert, AZ 85298-4836

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS038653 (PA)
Periodontics Primary 1223P0300XD008400 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1164716783

Kurt David Wallin, DMD's National Provider Identifier is 1164716783, issued on May 31, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tucson, AZ. The record was last updated on Dec 13, 2012.