Provider Demographics
NPI:1891802740
Name:WRIGHT, GREGORY TAYLOR (DDS)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:TAYLOR
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 N POST RD STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4245
Mailing Address - Country:US
Mailing Address - Phone:317-897-6074
Mailing Address - Fax:317-897-6077
Practice Address - Street 1:1035 N POST RD STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-4245
Practice Address - Country:US
Practice Address - Phone:317-897-6074
Practice Address - Fax:317-897-6077
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010081A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice