Provider Demographics
NPI:1831183813
Name:WRIGHT, PEGGY H (DDS)
Entity type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:H
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 1:482 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:CO
Mailing Address - Zip Code:80720-1149
Mailing Address - Country:US
Mailing Address - Phone:970-345-2677
Mailing Address - Fax:970-345-2677
Practice Address - Street 1:482 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:CO
Practice Address - Zip Code:80720-1149
Practice Address - Country:US
Practice Address - Phone:970-345-2677
Practice Address - Fax:970-345-2677
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1040441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice