Provider Demographics
NPI:1750399952
Name:WRIGHT, FREDERICK E (DDS, MS,PA)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DDS, MS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:NESHANIC STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08853-3514
Mailing Address - Country:US
Mailing Address - Phone:908-526-0039
Mailing Address - Fax:908-526-9324
Practice Address - Street 1:199 WEST HIGH STREET
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876
Practice Address - Country:US
Practice Address - Phone:908-526-0039
Practice Address - Fax:908-526-9324
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ91961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics