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NPI Code Detail

MEDICARE: WRIGHT DENTISTRY LLC, DBA SMILE DESIGN STUDIO OF MONTGOMERY VILLAGE

MEDICARE: WRIGHT DENTISTRY LLC, DBA SMILE DESIGN STUDIO OF MONTGOMERY VILLAGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodontics
2261QD0000XDental Clinic/Center
31223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1093571846
Entity Type Code : Organization
Provider Name (Legal Business Name) : WRIGHT DENTISTRY LLC, DBA SMILE DESIGN STUDIO OF MONTGOMERY VILLAGE
Provider Business Mailing Address
First Line : 19620A CLUB HOUSE RD
Second Line :
City : MONTGOMERY VILLAGE
State : MD
Zip : 20886-3003
Country : US
Telephone Number : 301-926-1900
Fax Number :
Provider Business Practice Location Address
First Line : 19620A CLUB HOUSE RD
Second Line :
City : MONTGOMERY VILLAGE
State : MD
Zip : 20886-3003
Country : US
Telephone Number : 301-926-1900
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. TREVA WRIGHT
Credential : DDS
Telephone Number : 410-913-1077
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/27/2024

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Directions to “WRIGHT DENTISTRY LLC, DBA SMILE DESIGN STUDIO OF MONTGOMERY VILLAGE ” Practice Location

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