Organization Active NPI

Fred L. Wright, Jr., D.D.S., P.a.

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1366577710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0000866 Issued in DE
Legal business name
FRED L. WRIGHT, JR., D.D.S., P.A.
Practice address
4543 Stoney Batter Rd
Pike Creek Office Park
Wilmington, DE 19808-1286
Phone
(302) 239-1641
Fax
(302) 239-1643
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fred Lee Wright Jr., D.D.S.
Title
President
Phone
(302) 239-1641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X G1-0000866 DE Primary

Addresses

Primary practice location

4543 Stoney Batter Rd
Pike Creek Office Park
Wilmington, DE 19808-1286

Mailing address

4543 Stoney Batter Rd
Pike Creek Office Park
Wilmington, DE 19808-1286
Phone (302) 239-1641

National Provider Directory

National Provider Directory

Locations

4543 Stoney Batter Rd
Ofc Park
Wilmington, DE 19808
Phone (302) 239-1641

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366577710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 STONEY BATTER RD",
            "address_2": "PIKE CREEK OFFICE PARK",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081286",
            "telephone_number": "302-239-1641",
            "fax_number": "302-239-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 STONEY BATTER RD",
            "address_2": "PIKE CREEK OFFICE PARK",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081286",
            "telephone_number": "302-239-1641",
            "fax_number": "302-239-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L. WRIGHT, JR., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-239-1641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0000866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.