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Organization

ROGER A. WRIGHT, D. M. D., DENTAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER ALAN WRIGHT D. M. D. (CHAIRMAN OF THE BOARD)
(662) 369-2063
Entity
Organization

Contact information

Practice address
513 W COMMERCE ST, ABERDEEN, MS 39730-2543
(662) 369-2063
(662) 369-2076
Mailing address
513 W COMMERCE ST, P. O. BOX 212, ABERDEEN, MS 39730-2543
(662) 369-2063
(662) 369-2076

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1860-79
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00064708
MS
Enumeration date
10/24/2006
Last updated
08/22/2020
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