DR. BRADLEY DAVID WILTBANK (NPI# 1245438324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245438324 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY DAVID WILTBANK |
| Credential | DMD |
| Practice Address |
1313 Dolley Madison Blvd Suite #209 Mc Lean VA 22101-3953 |
| Mailing Address |
6836 Chelsea Rd Mc Lean VA 22101-2803 |
| Practice Telephone | 7033567890 |
| Mailing Telephone | 4252805252 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401414248 | VA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE00011246 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D8944 | OR | Dental Providers |
| Street Address |
1313 DOLLEY MADISON BLVD SUITE #209 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770536724 | Northwest Internists LLC | Internal Medicine | 1313 Dolley Madison Blvd, Suite 302, Mc Lean, VA 22101-3953 | 2006-05-19 |
| 1508108812 | Adisa Mujkic | Podiatrist | 1313 Dolley Madison Blvd, Suite 403, Mc Lean, VA 22101-3953 | 2013-03-25 |
| 1194091744 | Bruce E Lessin M D P C | Internal Medicine | 1313 Dolley Madison Blvd, Suite 207, Mc Lean, VA 22101-3953 | 2012-03-28 |
| 1689807471 | Tong-yen Huang | Dentist | 1313 Dolley Madison Blvd, Suite 307, Mc Lean, VA 22101-3953 | 2009-08-27 |
| 1104083310 | Van Giao Le | Dentist | 1313 Dolley Madison Blvd, Suite 209, Mc Lean, VA 22101-3953 | 2008-05-16 |
| 1639336852 | John Timothy Dewinkler | Dentist | 1313 Dolley Madison Blvd, Suite 209, Mc Lean, VA 22101-3953 | 2008-05-16 |
| 1558536326 | Edward Chun | Dentist | 1313 Dolley Madison Blvd, Suite 307, Mc Lean, VA 22101-3953 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508364977 | Maryam Ashraghi | Dentist | 1524 Lincoln Way Unit 433, Mc Lean, VA 22102-5946 | 2018-01-31 |
| 1689106726 | Grove Dental Clinic | Dentist | 8355b Greensboro Dr, Mc Lean, VA 22102-3530 | 2017-03-29 |
| 1255722138 | Dental Center of Tyson's Corner | Dentist | 8270 Greensboro Dr, Suite 101, Mc Lean, VA 22102-3800 | 2015-02-12 |
| 1447676887 | Fahd Yousaf | Dentist | 6509 Divine St, Mc Lean, VA 22101-4620 | 2014-03-10 |
| 1699023838 | Novel Smiles | Dentist | 8180 Greensboro Dr., Suite 100, Mc Lean, VA 22102-3860 | 2012-08-20 |
| 1679847800 | Shawdi Assar | Dentist | 1477 Chain Bridge Rd Ste 101, Mc Lean, VA 22101-5729 | 2012-03-06 |
| 1003042748 | Kristina T Nguyen | Dentist | 8201 Greensboro Dr Ste 220, Mc Lean, VA 22102-3813 | 2009-06-09 |
| 1649418377 | Kevin C. Granger, D.d.s., P.C. | Dentist | 8363b Greensboro Dr, Mc Lean, VA 22102-3530 | 2009-02-03 |
| 1881849149 | Fathima H Firdose | Dentist | 1574 Onyx Dr, Unit 105, Mc Lean, VA 22102-3958 | 2008-11-28 |
| 1316100639 | Madhusudhan Reddy Kasipathy | Dentist | 8353 Greensboro Dr Ste A&b, Mc Lean, VA 22102-3530 | 2008-07-07 |
| Find all providers in MC LEAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.