Bruce S Wyman in Springfield - Periodontics

Bruce S Wyman - NPI 1063424638

Bruce S Wyman is a Periodontics in Springfield, Virginia. Bruce S Wyman practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bruce S Wyman is 1063424638. The last update date is 2007-07-08.

Bruce S Wyman's current location address is 6116 Rolling Road, Springfield, Virginia. You can contact this provider via phone number 7035694040 and fax number 7035697334. The mailing address for Bruce S Wyman is 6116 Rolling Road, Springfield, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce S Wyman
Address 6116 Rolling Road, Springfield, Virginia
Phone Number 7035694040
Fax Number 7035697334
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1063424638
Provider Enumeration Date 2006-08-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6116 Rolling Road
City Springfield
State Virginia (VA)
Post Code 221521512
Phone Number 7035694040
Fax Number 7035697334

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 401004973
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Bruce S Wyman

What is the unique identifier code issued to Bruce S Wyman by the Centers for Medicare & Medicaid Services (CMS)?

The Bruce S Wyman has been assigned the NPI (National Provider Identifier) 1063424638. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Bruce S Wyman is located?

The Bruce S Wyman is situated at the following address: 6116 Rolling Road, Springfield, VA, 221521512.

What is Bruce S Wyman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bruce S Wyman is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.

When did the Bruce S Wyman receive its 1063424638?

The Bruce S Wyman was issued its 1063424638 on 2006-08-12, which is the date when the organization was assigned this unique identifier.

As of what date were the Bruce S Wyman's details last updated?

The information pertaining to the Bruce S Wyman, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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