Provider Demographics
NPI:1780756288
Name:WRIGHT, KARLENE MARIE (DDS)
Entity type:Individual
Prefix:MRS
First Name:KARLENE
Middle Name:MARIE
Last Name:WRIGHT
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 1:10025 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:SUITE 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:410-730-5547
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice