# ROY N. KALDESTAD, DDS, PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154574077
- **Authorized official:** DR. ROY NORMAN KALDESTAD DDS (PRESIDENT)
- **Authorized official phone:** (253) 572-3266

## Contact information

- **Practice address:** 1550 S UNION AVE, SUITE \#110, TACOMA, WA 98405-1946
- **Practice address phone:** (253) 572-3266
- **Practice address fax:** (253) 572-7878
- **Mailing address:** 1550 S UNION AVE, SUITE \#110, TACOMA, WA 98405-1946
- **Mailing address phone:** (253) 572-3266
- **Mailing address fax:** (253) 572-7878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | DE 00006323 | WA | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 10/23/2008