Provider Demographics
NPI:1265418370
Name:CATHRIGHT, EDWARD JR (DMD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:CATHRIGHT
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 HOFF ST
Mailing Address - Street 2:USA DENTAC
Mailing Address - City:FORT LEE
Mailing Address - State:VA
Mailing Address - Zip Code:23801
Mailing Address - Country:US
Mailing Address - Phone:404-805-9189
Mailing Address - Fax:804-734-9163
Practice Address - Street 1:504 TRENTON DRIVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801
Practice Address - Country:US
Practice Address - Phone:404-805-9189
Practice Address - Fax:804-734-9163
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLNO3748122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist