Wright, John M

Wright, John M is an individual health care provider with primary practice located at 3302 Gaston Ave , Dallas TX 75246-2013. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Wright, John M can be contacted via phone (214) 828-8118.

Contact Information

Primary practice address
3302 Gaston Ave Dallas TX 75246-2013
Phone: (214) 828-8118
Fax: (214) 828-8306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13162 Texas
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 13162 Texas

Profile Details

NPI number 1104964295
LBN Legal business name Wright, John M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104964295 NPPES
Texas MEDICAID 090093802

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