# A. ROY WRATHER, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wrather Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629453642
- **Authorized official:** KELLY H WEST (OFFICE MANAGER)
- **Authorized official phone:** (901) 476-8121

## Contact information

- **Practice address:** 720 W SHERROD AVE, COVINGTON, TN 38019-3024
- **Practice address phone:** (901) 476-8121
- **Practice address fax:** (901) 476-7573
- **Mailing address:** 720 W SHERROD AVE, COVINGTON, TN 38019-3024
- **Mailing address phone:** (901) 476-8121
- **Mailing address fax:** (901) 476-7573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1937 | TN | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015