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

Christopher Smith Wennerholm

Individual provider Dental Anesthesiology · NPI 1083364293

Christopher Smith Wennerholm is a Dental Anesthesiology in Gilbert, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2308 E Bonita St
Gilbert, AZ 85296-2743
Phone: (480) 204-9392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence D012421 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083364293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address2308 E Bonita St, Gilbert, AZ 85296-2743

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