Provider Demographics
NPI:1881805489
Name:WRIGHT, GARY LEE (DMD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LARK LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9529
Mailing Address - Country:US
Mailing Address - Phone:717-871-1794
Mailing Address - Fax:
Practice Address - Street 1:8 MARTICVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-9508
Practice Address - Country:US
Practice Address - Phone:717-872-8310
Practice Address - Fax:717-872-7971
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-022432-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice