Individual
DR. JENNIFER J WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
601 HARGROVE ROAD EAST, SUITE B, TUSCALOOSA, AL 35401
(205) 758-0200
(205) 752-9453
Mailing address
62 THE HIGHLANDS, TUSCALOOSA, AL 35404
(205) 556-6556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4476
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-07753
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
09/28/2006
Last updated
07/08/2007
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