Provider Demographics
NPI:1942006622
Name:TOLLESTRUP, JAMES DALIN (BDS MDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DALIN
Last Name:TOLLESTRUP
Suffix:
Gender:M
Credentials:BDS MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 DRAKE LANDING MEWS
Mailing Address - Street 2:
Mailing Address - City:OKOTOKS
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T1S 0A2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19A 3 AVE SE
Practice Address - Street 2:
Practice Address - City:HIGH RIVER
Practice Address - State:ALBERTA
Practice Address - Zip Code:T1V 1G3
Practice Address - Country:CA
Practice Address - Phone:403-652-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program