Healthcare Provider Details

I. General information

NPI: 1649182064
Provider Name (Legal Business Name): WRIGHT ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 PROFESSIONAL PKWY
LOCKPORT NY
14094-5368
US

IV. Provider business mailing address

130 PROFESSIONAL PKWY
LOCKPORT NY
14094-5368
US

V. Phone/Fax

Practice location:
  • Phone: 716-433-3883
  • Fax:
Mailing address:
  • Phone: 716-433-3883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ANA RAFFAINI MARTINS WRIGHT
Title or Position: PRESIDENT
Credential: DDS, MS
Phone: 716-342-9881