Organization
WRIGHT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL HEATH WRIGHT DDS (DENTIST)
(817) 599-3336
Entity
Organization
Contact information
Practice address
1210 CLEAR LAKE RD, WEATHERFORD, TX 76086-5802
(817) 599-3336
Mailing address
1210 CLEAR LAKE RD, WEATHERFORD, TX 76086-5802
(817) 599-3336
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134298094
TYPE2 NPI
TX
01
—
1558750422
TYPE 2 NPI
TX
01
—
1902979628
KELLY BLAIR DDS, ASSOCITAE
TX
Enumeration date
09/21/2015
Last updated
09/21/2015
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