Provider Demographics
NPI:1477556439
Name:WHISLER, BRYCE GERALD III (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:GERALD
Last Name:WHISLER
Suffix:III
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 1:102 WHISPERING WAY
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-3069
Mailing Address - Country:US
Mailing Address - Phone:618-541-7568
Mailing Address - Fax:
Practice Address - Street 1:76 NEALY BLVD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23665-2022
Practice Address - Country:US
Practice Address - Phone:618-256-7120
Practice Address - Fax:618-256-4427
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14894122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist