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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.