Provider Demographics
NPI:1649207309
Name:WRIGHT, HENRY NEILL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:NEILL
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:HENRY
Other - Middle Name:NEILL
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:415 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-4043
Mailing Address - Country:US
Mailing Address - Phone:919-934-3636
Mailing Address - Fax:
Practice Address - Street 1:415 N 7TH ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4043
Practice Address - Country:US
Practice Address - Phone:919-934-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8999590Medicaid