Provider Demographics
NPI:1568621191
Name:CLAYTON L. WRIGHT, D.M.D., P.C.
Entity Type:Organization
Organization Name:CLAYTON L. WRIGHT, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPEIGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-793-9888
Mailing Address - Street 1:2601 MURPHY MILL RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-1521
Mailing Address - Country:US
Mailing Address - Phone:334-793-9888
Mailing Address - Fax:334-793-7730
Practice Address - Street 1:2601 MURPHY MILL RD
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-1521
Practice Address - Country:US
Practice Address - Phone:334-793-9888
Practice Address - Fax:334-793-7730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3214122300000X
AL5119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty