Wyman, Bruce S

Wyman, Bruce S is an individual health care provider with primary practice located at 6116 Rolling Road Suite 312, Springfield VA 22152-1512. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wyman, Bruce S can be contacted via phone (703) 569-4040.

Contact Information

Primary practice address
6116 Rolling Road Suite 312 Springfield VA 22152-1512
Phone: (703) 569-4040
Fax: (703) 569-7334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0401004973 Virginia

Profile Details

NPI number 1063424638
LBN Legal business name Wyman, Bruce S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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