Individual
DR. BRYAN P WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11319 POLO PL, MIDLOTHIAN, VA 23113-1434
(804) 794-0794
(804) 379-2858
Mailing address
11545A NUCKOLS ROAD, GLEN ALLEN, VA 23059-5666
(804) 673-8061
(804) 673-5644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416021
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000388
VA
Other
Enumeration date
04/09/2014
Last updated
01/29/2024
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