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General NPI Number Information
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NPI Number | 1821243080
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Entity Type | Organization
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Legal Business Name | DENTISTS IN ACTION, PC
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 524 RED LANE RD SUITE F
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City | BIRMINGHAM
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State | AL
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Zip | 35215-8245
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Country | US
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Telephone | 205-836-4044
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Fax | 205-836-4311
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Provider Business Mailing Address
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Address Line | 524 RED LANE RD SUITE F
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City | BIRMINGHAM
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State | AL
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Zip | 35215-8245
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Country | US
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Telephone | 205-836-4044
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Fax | 205-836-4311
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILSON WRIGHT JR.
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Credential | D.M.D.
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Telephone | 205-836-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3138
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License Number State | AL
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