Miss Holly Wallstrom Stagg is a Vancouver, Washington based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Miss Holly Wallstrom Stagg is DE00011143 for Dentistry in Washington. Her current practice location is 16703 Se Mcgillivray Blvd Ste 100, Vancouver. Patients can reach her at 360-892-2994.
Miss Holly Wallstrom Stagg is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Miss Holly Wallstrom Stagg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Miss Holly Wallstrom Stagg
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
16703 Se Mcgillivray Blvd Ste 100, Vancouver, Washington, 98683-3418
Phone:
360-892-2994
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1972697845
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
03 Aug, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Holly Wallstrom Stagg are as mentioned below.
License Number
Specialization
State
Status
DE00011143
Dentistry
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Holly Wallstrom Stagg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DE00011143
Other
Washington
STATE DENTAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16703 Se Mcgillivray Blvd Ste 100, Vancouver, Washington
Zip:
98683-3418
Phone Number:
360-892-2994
Patients can reach Miss Holly Wallstrom Stagg at 16703 Se Mcgillivray Blvd Ste 100, Vancouver, Washington or can call to book an appointment on 360-892-2994. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.