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General NPI Number Information
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NPI Number | 1386920676
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Entity Type | Organization
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Legal Business Name | WRIGHT CARE DENTISTRY
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 1600 HERITAGE LNDG STE 210
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City | SAINT PETERS
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State | MO
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Zip | 63303-8488
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Country | US
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Telephone | 636-447-2424
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Fax | 636-447-2313
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Provider Business Mailing Address
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Address Line | 7202 GILES RD STE 4-255
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City | LA VISTA
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State | NE
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Zip | 68128-6000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JANEEN DEDNAM-WRIGHT
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Credential |
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Telephone | 314-520-3263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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