Search › Florida › 1223G0001X
Adam Wallum, DMD
NPI 1740640036 · on the registry since 2016 · sole proprietor
Practice
- Address
- 307 Boatner Rd Ste 114
Eglin Afb, FL 32542 - Phone
- (850) 883-8803
- Organisation at this address
- 96th Medgrp-Eglin
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 506
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida