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

Individual provider General Practice Dentistry · NPI 1083632368

Dr. David William Wistrom, DDS is a General Practice Dentistry in Santa Cruz, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

1830 Commercial Way
Santa Cruz, CA 95065-1819
Phone: (831) 464-5409
Fax: (831) 464-5415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Penny Ln Ste 103, Watsonville, CA 95076-6017 — (831) 218-5341

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 42785 (CA)

Record details

NPI number1083632368
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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