Provider Demographics
NPI:1982808648
Name:WRIGHT, CHAD M (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4481 LAS POSAS RD STE C
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-2537
Mailing Address - Country:US
Mailing Address - Phone:805-484-1688
Mailing Address - Fax:805-484-1044
Practice Address - Street 1:4481 LAS POSAS RD STE C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2537
Practice Address - Country:US
Practice Address - Phone:805-484-1688
Practice Address - Fax:805-484-1044
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics