Provider Demographics
NPI:1194944959
Name:WILTSHIRE, CATHY LORRAINE (DDS)
Entity type:Individual
Prefix:MISS
First Name:CATHY
Middle Name:LORRAINE
Last Name:WILTSHIRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2415 MUSGROVE RD STE 307
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5223
Mailing Address - Country:US
Mailing Address - Phone:301-879-1607
Mailing Address - Fax:301-879-1637
Practice Address - Street 1:2415 MUSGROVE RD STE 307
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5223
Practice Address - Country:US
Practice Address - Phone:301-879-1607
Practice Address - Fax:301-879-1637
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD138321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics