Provider Demographics
NPI:1629129630
Name:WRIGHT, LEE CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:CHARLES
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HOLIDAY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3010
Mailing Address - Country:US
Mailing Address - Phone:615-794-0228
Mailing Address - Fax:615-794-8990
Practice Address - Street 1:105 HOLIDAY CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3010
Practice Address - Country:US
Practice Address - Phone:615-794-0228
Practice Address - Fax:615-794-8990
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000048221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice