Provider Demographics
NPI:1518247998
Name:KARLENE M. WRIGHT DDS LLC
Entity Type:Organization
Organization Name:KARLENE M. WRIGHT DDS LLC
Other - Org Name:AESTHETIC FAMILY DENTISTRY OF COLUMBIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLENE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-730-6121
Mailing Address - Street 1:10025 GOVERNOR WARFIELD PKWY
Mailing Address - Street 2:SUITE 217
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3340
Mailing Address - Country:US
Mailing Address - Phone:410-730-6121
Mailing Address - Fax:410-730-5547
Practice Address - Street 1:10025 GOVERNOR WARFIELD PKWY
Practice Address - Street 2:STE 217
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3340
Practice Address - Country:US
Practice Address - Phone:410-730-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty