Wiltbank, Bradley David

Wiltbank, Bradley David is an individual health care provider with primary practice located at 1313 Dolley Madison Blvd Suite #209, Mc Lean VA 22101-3953. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wiltbank, Bradley David can be contacted via phone (703) 356-7890.

Contact Information

Primary practice address
1313 Dolley Madison Blvd Suite #209 Mc Lean VA 22101-3953
Phone: (703) 356-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D8944 Oregon
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401414248 Virginia
Dental Providers / General Practice 1223G0001X DE00011246 Washington
Dental Providers / Dentist 122300000X 0401414248 Virginia

Profile Details

NPI number 1245438324
LBN Legal business name Wiltbank, Bradley David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Dec 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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