Provider Demographics
NPI:1033264155
Name:WRIGHT, THOMAS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6740 FOREST HILL AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-1844
Mailing Address - Country:US
Mailing Address - Phone:804-320-8894
Mailing Address - Fax:804-323-1768
Practice Address - Street 1:6740 FOREST HILL AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-1844
Practice Address - Country:US
Practice Address - Phone:804-320-8894
Practice Address - Fax:804-323-1768
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010039131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
0451021OtherUNITED CONCORDIA INSURANC
VA002366OtherANTHEM BLUE CROSS BLUE SH