Provider Demographics
NPI:1568995710
Name:OSCAR L. WRIGHT, D.D.S., P.C.
Entity Type:Organization
Organization Name:OSCAR L. WRIGHT, D.D.S., P.C.
Other - Org Name:ORAL HEALTH CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-232-6070
Mailing Address - Street 1:1201 FLUSHING RD
Mailing Address - Street 2:STE 6
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-4730
Mailing Address - Country:US
Mailing Address - Phone:810-232-6070
Mailing Address - Fax:810-232-8829
Practice Address - Street 1:1201 FLUSHING RD
Practice Address - Street 2:STE 6
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4730
Practice Address - Country:US
Practice Address - Phone:810-232-6070
Practice Address - Fax:810-232-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901011160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty