Provider Demographics
NPI:1952925125
Name:WRIGHT, JOSEPH IRVIN JR (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:IRVIN
Last Name:WRIGHT
Suffix:JR
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 1:7801 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23803-8244
Mailing Address - Country:US
Mailing Address - Phone:804-926-6389
Mailing Address - Fax:
Practice Address - Street 1:723 SOUTHPARK BLVD STE F
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-3628
Practice Address - Country:US
Practice Address - Phone:804-504-0012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401417734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist