DEVIN WAHLSTROM NPI 1740656313

NPI Information

  • NPI: 1740656313
  • Provider Name: DEVIN WAHLSTROM
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 2817 ROCK MERRITT AVE
    FORT BRAGG, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

Devin Wahlstrom is an oral and maxillofacial surgery dentist in Fort Bragg, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Devin Wahlstrom NPI is 1740656313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2817 ROCK MERRITT AVE
FORT BRAGG, NC
ZIP 28310-504
Phone: (910) 907-8922

The enumeration date for this NPI number is 8/18/2015 and was last updated on 6/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery10331OREGONNo
21223S0112XDentistOral and Maxillofacial Surgery37111TEXASNo
31223S0112XDentistOral and Maxillofacial Surgery12395ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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