DEVIN WAHLSTROM

Oral & Maxillofacial Surgery (D.M.D.) · SCOTTSDALE, AZ

Individual Active Opted out of Medicare NPI 1740656313

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X12395AZ
Oral & Maxillofacial Surgery (D.M.D.)204E00000X37111TX
Oral & Maxillofacial Surgery (D.M.D.)204E00000X10331OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2025-09-15 through 2027-09-15.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Arizona

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.