Provider Demographics
NPI:1447308085
Name:WRIGHT, HOLLAND BOYD II (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:HOLLAND
Middle Name:BOYD
Last Name:WRIGHT
Suffix:II
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3647
Mailing Address - Country:US
Mailing Address - Phone:229-883-1600
Mailing Address - Fax:229-883-0925
Practice Address - Street 1:1503 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3647
Practice Address - Country:US
Practice Address - Phone:229-883-1600
Practice Address - Fax:229-883-0925
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0128861223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics