# CAMBRIDGE FAMILY DENTISTY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184773541
- **Authorized official:** DR. MARVIN DEAN WRIGHT DDS (PRESIDENT)
- **Authorized official phone:** (316) 687-2110

## Contact information

- **Practice address:** 2020 N WEBB RD, BLDG 301, WICHITA, KS 67206
- **Practice address phone:** (316) 687-2110
- **Practice address fax:** (316) 636-9539
- **Mailing address:** 2020 N WEBB RD, BLDG 301, WICHITA, KS 67206
- **Mailing address phone:** (316) 687-2110
- **Mailing address fax:** (316) 636-9539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 420722 | BLUE CROSS BLUE SHIELD | KS |