Provider Demographics
NPI:1437198728
Name:WRIGHT, DAVID MONROE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MONROE
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 1:49 COLONY CT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3507
Mailing Address - Country:US
Mailing Address - Phone:716-839-0503
Mailing Address - Fax:
Practice Address - Street 1:49 COLONY CT
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3507
Practice Address - Country:US
Practice Address - Phone:716-839-0503
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36421122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist