MEDICARE: DOUGLAS DAVID 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	0401410557	VA

General Provider Information

NPI Number	:	1477610970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS DAVID WRIGHT DDS

Provider Business Mailing Address
First Line	:	1710 BROADRIDGE DR
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-9304
Country	:	US
Telephone Number	:	540-432-6616
Fax Number	:	540-432-6618

Provider Business Practice Location Address
First Line	:	1920 MEDICAL AVE STE F
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-8016
Country	:	US
Telephone Number	:	540-432-6616
Fax Number	:	540-432-6618

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

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