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

Mr. Brad A Wahlstrom, DDS

Individual provider General Practice Dentistry · NPI 1861572455

Mr. Brad A Wahlstrom, DDS is a General Practice Dentistry in West Jordan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
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

7089 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

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4791609 (UT)

Record details

NPI number1861572455
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007

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