Provider Demographics
NPI:1407926728
Name:WRIGHT, DANA ELDRIDGE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:ELDRIDGE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12977 DRESDIN CT
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-6256
Mailing Address - Country:US
Mailing Address - Phone:317-770-1863
Mailing Address - Fax:
Practice Address - Street 1:113 S HERITAGE WAY
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:IN
Practice Address - Zip Code:46064-8750
Practice Address - Country:US
Practice Address - Phone:765-221-5900
Practice Address - Fax:765-221-5902
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2018-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010388A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist