Provider Demographics
NPI:1346659216
Name:WRIGHT DENTAL CENTER, PLLC
Entity Type:Organization
Organization Name:WRIGHT DENTAL CENTER, PLLC
Other - Org Name:WRIGHT DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:III
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-441-3120
Mailing Address - Street 1:3760 ALEXANDRIA PIKE
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:KY
Mailing Address - Zip Code:41076-1713
Mailing Address - Country:US
Mailing Address - Phone:859-441-3120
Mailing Address - Fax:859-908-3424
Practice Address - Street 1:3760 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:KY
Practice Address - Zip Code:41076-1713
Practice Address - Country:US
Practice Address - Phone:859-441-3120
Practice Address - Fax:859-908-3424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY89551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty