DR. Charles Russell Wright, DDS

NPI #1306936547 in Jasper, Georgia

Provider Information

NPI Number: 1306936547
Entity Type: Individual
Name: DR. Charles Russell Wright, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2129 GRANDVIEW RD
City: Jasper
State: Georgia
ZIP Code: 30143-3313
Phone: (678) 925-1077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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