Provider Demographics
NPI:1679608285
Name:WRIGHT, YARITZA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:YARITZA
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4601 WHITESBURG DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802
Mailing Address - Country:US
Mailing Address - Phone:256-533-1611
Mailing Address - Fax:256-533-1606
Practice Address - Street 1:4601 WHITESBURG DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-533-1611
Practice Address - Fax:256-533-1606
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL54521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice