Provider Demographics
NPI:1558759217
Name:RITA D. WRIGHT D.M.D PLLC
Entity Type:Organization
Organization Name:RITA D. WRIGHT D.M.D PLLC
Other - Org Name:WRIGHTSMILECENTER OF WOODBRIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:703-878-7883
Mailing Address - Street 1:3985 PRINCE WILLIAM PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-7900
Mailing Address - Country:US
Mailing Address - Phone:703-878-7883
Mailing Address - Fax:703-878-7885
Practice Address - Street 1:3985 PRINCE WILLIAM PKWY STE 103
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-7900
Practice Address - Country:US
Practice Address - Phone:703-878-7883
Practice Address - Fax:703-878-7885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410360122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty