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General NPI Number Information
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NPI Number | 1962882878
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Entity Type | Individual
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Provider Name | STEPHEN WRIGHT PEDIATRIC DENTIST
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Gender | Male
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8202 APISON PIKE STE 202
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City | OOLTEWAH
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State | TN
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Zip | 37363-8449
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Country | US
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Telephone | 423-910-3055
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Fax | 423-910-9022
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Provider Business Mailing Address
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Address Line | 9927 PENNEYWOOD LN
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City | OOLTEWAH
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State | TN
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Zip | 37363-8793
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Country | US
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Telephone | 423-315-6828
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9711
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 9711
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License Number State | TN
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