# WAHLSTROM SURGICAL ARTS

> 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
- **Other names:** Scottsdale Surgical Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720972664
- **Authorized official:** DEVIN WAHLSTROM DMD (OWNER/ORAL SURGEON)
- **Authorized official phone:** (503) 752-2909

## Contact information

- **Practice address:** 10603 N HAYDEN RD STE H112, SCOTTSDALE, AZ 85260-5679
- **Practice address phone:** (480) 922-9933
- **Mailing address:** 10603 N HAYDEN RD STE H112, SCOTTSDALE, AZ 85260-5679
- **Mailing address phone:** (480) 922-9933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2025
- **Last updated:** 09/04/2025
