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

Miss. Holly Wallstrom Stagg, DDS

Individual provider Dentist · NPI 1972697845

Miss. Holly Wallstrom Stagg, DDS is a Dentist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
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.

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Practice location Address checks out

16703 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-3418
Phone: (360) 892-2994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00011143 (WA)

Record details

NPI number1972697845
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

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