Individual
J ROCKWELL WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6211
Mailing address
6114 KYLE LEAF CT, ELKRIDGE, MD 21075-6162
(480) 254-9566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011268
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
08/09/2022
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