Wright and Associates IV DDS PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WRIGHT AND ASSOCIATES IV DDS PA

Practice address

920 W Hamlet Ave Ste B
Hamlet, NC 28345-4520

Phone

(910) 582-5143

Fax

(919) 582-8620

NPI assigned

May 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia M Duffy

Title

Credentialing Manager

Phone

(919) 295-2757

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1194252874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W HAMLET AVE STE B",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454520",
            "telephone_number": "910-557-9062",
            "fax_number": "919-582-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W HAMLET AVE STE B",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454520",
            "telephone_number": "910-582-5143",
            "fax_number": "919-582-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT AND ASSOCIATES IV DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-04-27",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-295-2757"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Hamlet, NC
• Providers in Hamlet, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.