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Contact Information

ROGER A. WRIGHT, D. M. D., DENTAL CLINIC, INC.
513 W COMMERCE ST
ABERDEEN, MS39730-2543
 Phone: 662-369-2063
 Fax: 662-369-2076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ROGER A. WRIGHT, D. M. D., DENTAL CLINIC, INC.

NPI # 1033293311
LBN Legal business name ROGER A. WRIGHT, D. M. D., DENTAL CLINIC, INC.
Authorized official ROGER WRIGHT - (CHAIRMAN OF THE BOARD)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers
MS License # 1860-79
MS Medicaid 00064708
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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