Holly Wallstrom Stagg in Vancouver - Dentist
Holly Wallstrom Stagg - NPI 1972697845
Holly Wallstrom Stagg is a Dentist in Vancouver, Washington. Holly Wallstrom Stagg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Holly Wallstrom Stagg is 1972697845. The last update date is 2022-08-03.
Holly Wallstrom Stagg's current location address is 16703 Se Mcgillivray Blvd Ste 100, Vancouver, Washington. You can contact this provider via phone number 3608922994. The mailing address for Holly Wallstrom Stagg is 16703 Se Mcgillivray Blvd Ste 100, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Wallstrom Stagg |
|---|---|
| Address | 16703 Se Mcgillivray Blvd Ste 100, Vancouver, Washington |
| Phone Number | 3608922994 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1972697845 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2022-08-03 |
Provider Mailing Address Detail
| Address | 16703 Se Mcgillivray Blvd Ste 100 |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986833418 |
| Phone Number | 3608922994 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00011143 |
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Definition: 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: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE00011143 | WA | STATE DENTAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Holly Wallstrom Stagg by the Centers for Medicare & Medicaid Services?
The Holly Wallstrom Stagg has been issued the NPI (National Provider Identifier) 1972697845, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Holly Wallstrom Stagg?
The Holly Wallstrom Stagg is situated at 16703 Se Mcgillivray Blvd Ste 100, in the city of Vancouver, state of WA, with the zip code 986833418.
What is Holly Wallstrom Stagg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Holly Wallstrom Stagg is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Holly Wallstrom Stagg receive the assignment of its 1972697845 from the Centers for Medicare & Medicaid Services?
The Holly Wallstrom Stagg was issued its 1972697845 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information pertaining to Holly Wallstrom Stagg most recently updated or revised?
The details related to Holly Wallstrom Stagg, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-03.