Adam Wallum, DMD

General Practice Dentistry · Eglin Afb, FL

Individual Active NPI

NPI number 1740640036

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302
Phone
(850) 883-8803

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NPI record

NPI
1740640036
Entity type
Individual (Type 1)
Enumeration date
February 29, 2016
Last updated
July 28, 2025
Certified
July 28, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN22266 FL
Dentist 122300000X DN22266 FL

About Dr. Wallum

Adam Wallum, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302. The NPI number 1740640036 was assigned on February 29, 2016 and the record was last updated on July 28, 2025.

Dr. Wallum lists 2 licenses in the registry: #DN22266 (FL) for General Practice Dentistry; #DN22266 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Adam Wallum, DMD?

The NPI number is 1740640036.

What is the phone number of Dr. Wallum?

The phone number listed for the practice location is (850) 883-8803.

Where is Dr. Wallum located?

307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302.

What is the taxonomy code for Dr. Wallum?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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