Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY DAVID WILTBANK, DMD
ActiveDR. BRADLEY DAVID WILTBANK, DMD is a Oral & Maxillofacial Surgery healthcare provider located in MC LEAN, Virginia. NPI 1245438324 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MC LEAN, VA
Registration Details
- NPI Number
- 1245438324
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2007 (18.908289609942 yrs)
- Last Updated
- Dec 30, 2021
- Licenses
-
D8944 (OR)0401414248 (VA)DE00011246 (WA)0401414248 (VA)
Practice Information
- Address
-
1313 DOLLEY MADISON BLVDSUITE #209MC LEAN, VA, 221013953Browse VA providers · Browse ZIP 22101
- Phone
- 7033567890
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- General Dentistry
- Additional Specialty
- Dentist
Other Oral & Maxillofacial Surgery Providers in MC LEAN, VA
| Name | Credential | NPI |
|---|---|---|
| DR. IMAD SHAMI | DMD, OMFS | 1639374762 |
| DR. ZIAD A. ALI | MD, DMD | 1730386871 |
| DR. DARIA HAMRAH | D.M.D. | 1851585434 |
| DR. HAMAD ALHARBI | DDS, MS | 1013251065 |
| DR. NICHOLAS JOSEPH THOMAS | MD, DDS | 1336675727 |
| DR. FARNAZ VALAEI | DDS, MD | 1518489020 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.