Healthcare Provider Details

I. General information

NPI: 1740705219
Provider Name (Legal Business Name): WRIGHT AND ASSOCIATES VI, DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 CLEVELAND RD SUITE 203
GARNER NC
27529-8555
US

IV. Provider business mailing address

12450 CLEVELAND RD STE 203
GARNER NC
27529-8355
US

V. Phone/Fax

Practice location:
  • Phone: 919-277-7957
  • Fax: 919-277-7975
Mailing address:
  • Phone: 919-277-7957
  • Fax: 919-277-7975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERIN SNIPES POPE
Title or Position: CREDENTIAL MANAGER
Credential:
Phone: 919-277-7957