Provider Demographics
NPI:1407026701
Name:WRIGHT, RITA D (DMD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:RITA
Other - Middle Name:D
Other - Last Name:WRIGHT-PEYTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:3985 PRINCE WILLIAM PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5010
Mailing Address - Country:US
Mailing Address - Phone:703-878-7883
Mailing Address - Fax:703-878-7885
Practice Address - Street 1:3985 PRINCE WILLIAM PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5010
Practice Address - Country:US
Practice Address - Phone:703-878-7883
Practice Address - Fax:703-878-7885
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014103601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice