Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brad A. Wahlstrom, DDS, PC

Organization Dentist · NPI 1831405513

Brad A. Wahlstrom, DDS, PC is a Dentist 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
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

Other providers in West Jordan