Provider Demographics
NPI:1326098278
Name:WRIGHT, RONALD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
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 1:4279 W VIENNA RD
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-9440
Mailing Address - Country:US
Mailing Address - Phone:810-687-2000
Mailing Address - Fax:810-687-1956
Practice Address - Street 1:4279 W VIENNA RD
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-9440
Practice Address - Country:US
Practice Address - Phone:810-687-2000
Practice Address - Fax:810-687-1956
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI113671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice