Provider Demographics
NPI:1174139224
Name:WRIGHT, AIMEE JOYCE (DMD)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:JOYCE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-1720
Mailing Address - Country:US
Mailing Address - Phone:603-554-6548
Mailing Address - Fax:
Practice Address - Street 1:283 BROAD ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3160
Practice Address - Country:US
Practice Address - Phone:603-333-1180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0016T122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist