IndividualActive
Brandon Wilburn, DMD
NPI 1700566551 · Prosthodontics · Vancouver, WA
Provider details
- NPI number
- 1700566551
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DE61433639 (WA)
Specialties & taxonomies
Dental Providers
Practice location
1300 Esther St Ste 101
Vancouver, WA 98660-2890
Phone: (360) 693-4701
Approximate (ZIP-level) locationGet directions
Mailing address
3313 N Pioneer Canyon Dr
Ridgefield, WA 98642-8034
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.