BRADLEY WILTBANK, DMD
Oral and Maxillofacial Surgery (Dentist) · MC LEAN, VA
Individual Active Opted out of Medicare NPI 1245438324
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | 0401414248 | VA |
| General Practice Dentistry | 1223G0001X | D8944 | OR | |
| General Practice Dentistry | 1223G0001X | DE00011246 | WA | |
| Dentist | 122300000X | 0401414248 | VA |
Medicare eligibility
Opted out of Medicare (Dentist), effective 2025-03-06 through 2027-03-06.
Other Oral and Maxillofacial Surgery (Dentist) providers in Virginia
- NPI 1851585434
- NPI 1518489020
- NPI 1013251065
- NPI 1639374762
- NPI 1740590405
- NPI 1942826524
- NPI 1336675727
- NPI 1184055501
See all Oral and Maxillofacial Surgery (Dentist) providers in Virginia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.