MEDICARE: DAVID WAYNE 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	13427	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2618414AB	OTHER	MPIN
2	81221727	OTHER	TPIN
3	DN2163	OTHER	LOGISTICS HEALTH INC

General Provider Information

NPI Number	:	1679531214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WAYNE WRIGHT DDS

Provider Business Mailing Address
First Line	:	3615 W PARK ROW DRIVE
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-3027
Country	:	US
Telephone Number	:	817-261-8414
Fax Number	:	817-461-0600

Provider Business Practice Location Address
First Line	:	3615 W PARK ROW DRIVE
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-3027
Country	:	US
Telephone Number	:	817-261-8414
Fax Number	:	817-461-0600

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/08/2007

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Directions to “ DAVID WAYNE WRIGHT DDS” Practice Location

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