DR. BRUCE S WYMAN DMD
NPI 1063424638
Dentist - Periodontics in Springfield, VA

Active since August 12, 2006
6116 ROLLING ROAD, SUITE 312, SPRINGFIELD, VA 22152(703) 569-4040(703) 569-7334 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bruce S Wyman Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE S WYMAN DMD (NPI 1063424638) is an individual periodontics provider in Springfield, Virginia, licensed in Virginia (0401004973) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063424638
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BRUCE S WYMANCredential: DMD
Location Address6116 ROLLING ROAD, SUITE 312Springfield, VA 22152-1512
Mailing Address6116 Rolling Road, Suite 312Springfield, VA 22152-1512 · (703) 569-4040 · Fax (703) 569-7334
Fax(703) 569-7334
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1063424638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in VA · 0401004973
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 structures and tissues.

6116 ROLLING ROAD, Springfield, VA 22152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Wyman's NPI number?

The NPI number for Bruce Wyman is 1063424638. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Bruce Wyman located?

Bruce Wyman practices at 6116 Rolling Road Suite 312, Springfield, VA 22152. The listed phone number is (703) 569-4040.

What is Bruce Wyman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bruce Wyman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.