Individual provider · Type 1 NPI

Brad A. Wahlstrom, DDS

General Practice Dentistry · West Jordan, UT

NPI number 1861572455 Active

Practice location

7089 Redwood Rd
West Jordan, UT 84084-3420

Call (801) 566-3003 Map

Fax (801) 568-1710

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4791609 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1861572455

Brad A. Wahlstrom, DDS's National Provider Identifier is 1861572455, issued on Oct 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West Jordan, UT. The record was last updated on Jul 8, 2007.