IndividualActive
Andrew Wightman, DMD
NPI 1083817878 · Oral and Maxillofacial Surgery (Dentist) · Tocoma, WA
Provider details
- NPI number
- 1083817878
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE60325350 (WA)
Specialties & taxonomies
Dental Providers
Practice location
6050 Tacoma Mall Blvd Suite 330
Tocoma, WA 98409
Phone: (253) 473-0651
Fax: (253) 444-0761
Approximate (ZIP-level) locationGet directions
Mailing address
6050 Tacoma Mall Blvd, Suite 330
Tocoma, WA 98409
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2016-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.