James Evans Wright, DDS

Individual provider Active NPI General Practice Dentistry · Castleton, VT

NPI 1457422941 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1457422941
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
523 (VT)
Practice address
1939 Route 4a
Castleton, VT 05735
Phone
(802) 468-5626
Fax
(802) 468-5628
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
523VTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 523 VT Yes

Addresses

Primary practice location

1939 Route 4a
Castleton, VT 05735

Mailing address

PO Box 418
Castleton, VT 05735-0418
Phone (802) 468-5626

Other identifiers

IdentifierTypeStateIssuer
WRIG9191756OtherVTBLUE CROSS BLUE SHIELD
0001756MedicaidVT

Other providers in Castleton, VT

All providers in Castleton, VT · General Practice Dentistry in Vermont

Sources for this page

Verify at the official NPI Registry.