Individual provider · Type 1 NPI

Michael Wistrom, DDS

Dentist · Cedar Hill, TX

NPI number 1528629094 Active

Practice location

398 E FM 1382 Ste B
Cedar Hill, TX 75104-6056

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X35201 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1528629094

Michael Wistrom, DDS's National Provider Identifier is 1528629094, issued on Jun 25, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Cedar Hill, TX. The record was last updated on Jun 4, 2025.