DR. ETHAN THOMAS SEGERSTROM DDS
NPI 1649162017
Dentist - General Practice in Norfolk, VA

Active since July 18, 2025
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511(757) 953-9000 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ethan Thomas Segerstrom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN THOMAS SEGERSTROM DDS (NPI 1649162017) is an individual general practice provider in Norfolk, Virginia, licensed in Iowa (DDS-10368) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1649162017
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ETHAN THOMAS SEGERSTROMCredential: DDS
Location Address1721 ADMIRAL TAUSSIG BLVDNorfolk, VA 23511-2802
Mailing Address1721 Admiral Taussig BlvdNorfolk, VA 23511-2802 · (757) 953-9000
Sole ProprietorNo
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1649162017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · DDS-10368
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1721 ADMIRAL TAUSSIG BLVD, Norfolk, VA 23511

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Optometrist
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Nurse Practitioner (Family)
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Family Medicine
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Family Medicine
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Psychologist (Clinical)
1721 ADMIRAL TAUSSIG BLVD, DEPARTMENT OF MENTAL HEALTH
NORFOLK, VA 23511
Military Health Care Provider (Independent Duty Corpsman)
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511
Military Health Care Provider
1721 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Segerstrom's NPI number?

The NPI number for Ethan Segerstrom is 1649162017. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Ethan Segerstrom located?

Ethan Segerstrom practices at 1721 Admiral Taussig Blvd, Norfolk, VA 23511. The listed phone number is (757) 953-9000.

What is Ethan Segerstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ethan Segerstrom was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.