Provider Demographics
NPI:1235118688
Name:WRIGHT, JAMES MCCONKIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MCCONKIE
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 1:32 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-2059
Mailing Address - Country:US
Mailing Address - Phone:801-359-2655
Mailing Address - Fax:801-359-2669
Practice Address - Street 1:32 N STATE ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84103-2059
Practice Address - Country:US
Practice Address - Phone:801-359-2655
Practice Address - Fax:801-359-2669
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT361252122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist