Provider Demographics
NPI:1093973737
Name:WRIGHT, BOYD ANDERSON (DDS)
Entity Type:Individual
Prefix:
First Name:BOYD
Middle Name:ANDERSON
Last Name:WRIGHT
Suffix:
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 1:4140 LEMMON AVE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3738
Mailing Address - Country:US
Mailing Address - Phone:214-599-0778
Mailing Address - Fax:214-599-0754
Practice Address - Street 1:14012 FALLS CREEK CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-3501
Practice Address - Country:US
Practice Address - Phone:972-991-2788
Practice Address - Fax:972-934-1029
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist