Healthcare Provider Details

I. General information

NPI: 1578197281
Provider Name (Legal Business Name): WRIGHT FAMILY DENTISTRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 KEMPSVILLE RD
VIRGINIA BEACH VA
23464-5572
US

IV. Provider business mailing address

1055 KEMPSVILLE RD
VIRGINIA BEACH VA
23464-5572
US

V. Phone/Fax

Practice location:
  • Phone: 757-474-1200
  • Fax:
Mailing address:
  • Phone: 757-474-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTANY MARCELLE WRIGHT
Title or Position: OWNER/MEMBER
Credential: DDS, MS
Phone: 757-474-1200