MEDICARE: DR. CHAD WRIGHT DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN 16885	FL

General Provider Information

NPI Number	:	1235251737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD WRIGHT DMD

Provider Business Mailing Address
First Line	:	1299 HOWELL BRANCH RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1005
Country	:	US
Telephone Number	:	407-647-7775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1299 HOWELL BRANCH RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-1005
Country	:	US
Telephone Number	:	407-647-7775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/16/2010

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