Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972697845 Individual Practitioner Female Practitioner

Dr. Holly Wallstrom Stagg , DDS

Dentist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Holly Stagg, DDS is a registered healthcare professional specializing in Dentist in Vancouver, WA. Practice services are available at 16703 SE MCGILLIVRAY BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16703 Se Mcgillivray Blvd Ste 100

Vancouver, WA 986833418

Telephone 3608922994
Associated Practice Facility / Clinic
🏢 Daniel E. Wilson, Dmd Pc Facility NPI 1669973160

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
113 Specialists

Practicing in Vancouver, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-03
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00011143

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Dental License
DE00011143 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Andrew Himsworth , DMD

Dentist - General Practice

NPI 1750405965

Doctor of Dental Medicine

Dr. Jay Langsdorf , DMD

Dentist - General Practice

NPI 1932247814

Doctor of Dental Medicine

Dr. Daniel Wilson , DMD

Dentist - General Practice

NPI 1992820328

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 03, 2022

Registered at 16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 986833418 (Tel: 3608922994)

📍
Updated Business Mailing Address August 03, 2022

Registered at 16703 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 986833418 (Tel: 3608922994)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2022

Dentist (License #DE00011143 in WA)

NPI Profile Active March 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2013

Registered at 9300 NE VANCOUVER MALL DR, SUITE 100, VANCOUVER, WA 986628201 (Tel: 3609895135)

📍
Updated Business Mailing Address March 13, 2013

Registered at 9300 NE VANCOUVER MALL DR, SUITE 100, VANCOUVER, WA 986628201 (Tel: 3609895135)

👤
Provider Name / Credentials Updated March 13, 2013

Recorded as HOLLY STAGG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2013

Dentist (License #DE00011143 in WA)

🟢
Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Holly Stagg. Be the first to share your experience!

Sign in to leave a review for Dr. Holly Stagg

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972697845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: August 03, 2022
Sole Proprietor: No

Mailing Address

16703 Se Mcgillivray Blvd Ste 100

Vancouver, WA 986833418

Phone: 3608922994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.