John B. Wallstrom, DDS

Endodontics · Auburn, WA

Individual Active NPI

NPI number 1245359413

Practice location

1340 8TH St NE
#102
Auburn, WA 98002-4700
Phone
(253) 939-0055

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NPI record

NPI
1245359413
Entity type
Individual (Type 1)
Enumeration date
March 28, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X DE6558 WA

About Dr. Wallstrom

John B. Wallstrom, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 1340 8TH St NE, #102, Auburn, WA 98002-4700. The NPI number 1245359413 was assigned on March 28, 2007 and the record was last updated on July 8, 2007.

Dr. Wallstrom lists a license in the registry: #DE6558 (WA) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John B. Wallstrom, DDS?

The NPI number is 1245359413.

What is the phone number of Dr. Wallstrom?

The phone number listed for the practice location is (253) 939-0055.

Where is Dr. Wallstrom located?

1340 8TH St NE, #102, Auburn, WA 98002-4700.

What is the taxonomy code for Dr. Wallstrom?

The primary taxonomy code is 1223E0200X – Endodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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