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

Q: 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.

Q: What is Bruce Wyman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bruce Wyman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: September 06, 2026.

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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

Phone(703) 569-4040

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

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.