MEDICARE: DR. JAMES PAUL WRIGHT DDS

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	4189	NV

General Provider Information

NPI Number	:	1366506735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PAUL WRIGHT DDS

Provider Business Mailing Address
First Line	:	8855 W FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8723
Country	:	US
Telephone Number	:	702-309-4600
Fax Number	:	702-309-2771

Provider Business Practice Location Address
First Line	:	8855 W FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8723
Country	:	US
Telephone Number	:	702-309-4600
Fax Number	:	702-309-2771

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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