Provider Demographics
NPI:1356822498
Name:CIVIC CENTER DENTAL PARTNERS WRIGHT PLLC
Entity Type:Organization
Organization Name:CIVIC CENTER DENTAL PARTNERS WRIGHT PLLC
Other - Org Name:RISAS DENTAL AND BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:BOYLE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-339-4800
Mailing Address - Street 1:3030 N CENTRAL AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2750
Mailing Address - Country:US
Mailing Address - Phone:480-339-4800
Mailing Address - Fax:
Practice Address - Street 1:2500 E LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-6464
Practice Address - Country:US
Practice Address - Phone:702-359-0847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty