Basic Information
| Provider Information | |||||||||
| NPI: | 1417478462 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WRIGHT | ||||||||
| FirstName: | JOY | ||||||||
| MiddleName: | MARTHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 616 E LAYTON DR | ||||||||
| Address2: | |||||||||
| City: | OLATHE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660612819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134817182 | ||||||||
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| Practice Location | |||||||||
| Address1: | 407 S CLAIRBORNE RD | ||||||||
| Address2: | |||||||||
| City: | OLATHE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660621857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136482266 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2017 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 124Q00000X | 2017019402 | MO | N | Dental Providers | Dental Hygienist | 124Q00000X | 12236 | KS | Y | Dental Providers | Dental Hygienist |
No ID Information.