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General NPI Number Information
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NPI Number | 1295826634
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Entity Type | Organization
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Legal Business Name | LAURENCE C. WRIGHT, D.D.S., P.C.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 3985 MAIN ST
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City | AMHERST
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State | NY
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Zip | 14226-3404
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Country | US
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Telephone | 716-832-1550
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Fax | 716-832-6462
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Provider Business Mailing Address
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Address Line | 3985 MAIN ST
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City | AMHERST
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State | NY
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Zip | 14226-3404
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Country | US
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Telephone | 716-832-1550
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Fax | 716-832-6462
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Authorized Official
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Title or Position | PRESIDENT,
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Name | DR. DOUGLAS FINLEY WRIGHT
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Credential | D.D.S.,M.S.D.
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Telephone | 716-832-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 37764
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License Number State | NY
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