Provider Demographics
NPI:1083757330
Name:WRIGHT, ALLISON STEWART (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:STEWART
Last Name:WRIGHT
Suffix:
Gender:F
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 1:3141 BEAUMONT CENTRE CIR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1960
Mailing Address - Country:US
Mailing Address - Phone:859-268-4407
Mailing Address - Fax:859-268-9562
Practice Address - Street 1:3141 BEAUMONT CENTRE CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1960
Practice Address - Country:US
Practice Address - Phone:859-268-4407
Practice Address - Fax:859-268-9562
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7963122300000X
KY9361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist