Provider Demographics
NPI:1003135922
Name:WILTSHIRE, CURTIS BRETT (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:BRETT
Last Name:WILTSHIRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6442
Mailing Address - Country:US
Mailing Address - Phone:804-740-1297
Mailing Address - Fax:804-750-1297
Practice Address - Street 1:8503 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6442
Practice Address - Country:US
Practice Address - Phone:804-740-1297
Practice Address - Fax:804-750-1297
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist