Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Brad A. Wahlstrom, DDS, PC

Organization Dentist · NPI 1831405513

Brad A. Wahlstrom, DDS, PC provides Dentist services in West Jordan, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7089 S Redwood Rd
West Jordan, UT 84084-3420 Not confirmed with CMS for 16 years — call before visiting
Phone: (801) 566-3003
Fax: (801) 568-1710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4791609-9923 (UT)

Record details

NPI number1831405513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Wahlstrom — President · (801) 566-3003
NPI enumeratedAugust 19, 2010
Last updated in NPPESAugust 19, 2010
Mailing address7089 S Redwood Rd, West Jordan, UT 84084-3420

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