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General NPI Number Information
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NPI Number | 1891852588
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Entity Type | Organization
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Legal Business Name | ROBERT H WRIGHT DDS PA
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1502 FORSYTH ST
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City | MACON
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State | GA
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Zip | 31201
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Country | US
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Telephone | 478-742-1218
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Fax | 478-755-9679
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Provider Business Mailing Address
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Address Line | 1502 FORSYTH ST
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City | MACON
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State | GA
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Zip | 31201
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Country | US
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Telephone | 478-742-1218
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Fax | 478-755-9679
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT HUGHES WRIGHT
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Credential | DDS
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Telephone | 478-742-1218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 007666
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License Number State | GA
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