ADAM WALLUM DMD - NPI 1740640036 - Dentist in Eglin Afb, FL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Adam Wallum Dmd NPPES

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

ADAM WALLUM DMD (NPI 1740640036) is an individual general practice provider in Eglin Afb, Florida, licensed in Florida (DN22266) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1740640036

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameADAM WALLUMCredential: DMD

Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302

Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302

Phone(850) 883-8803

Sole ProprietorYes

Enumeration DateFebruary 29, 2016

Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1740640036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN22266

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.

Also ListedDentistTaxonomy 122300000X · License DN22266 (FL)

307 BOATNER RD STE 114, Eglin Afb, FL 32542

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