Provider Demographics
NPI:1730472515
Name:FETNER, MAGGIE WRIGHT (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:WRIGHT
Last Name:FETNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N. COX ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203
Mailing Address - Country:US
Mailing Address - Phone:336-521-9280
Mailing Address - Fax:336-628-4167
Practice Address - Street 1:202 N. COX ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203
Practice Address - Country:US
Practice Address - Phone:336-521-9280
Practice Address - Fax:336-628-4167
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9110122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist