Provider Demographics
NPI:1396275780
Name:WRIGHT, TOBY KYLE (DMD)
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:KYLE
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WESTMORELAND ST
Mailing Address - Street 2:
Mailing Address - City:HARROGATE
Mailing Address - State:TN
Mailing Address - Zip Code:37752-8200
Mailing Address - Country:US
Mailing Address - Phone:423-869-4762
Mailing Address - Fax:
Practice Address - Street 1:124 WESTMORELAND ST
Practice Address - Street 2:
Practice Address - City:HARROGATE
Practice Address - State:TN
Practice Address - Zip Code:37752-8200
Practice Address - Country:US
Practice Address - Phone:423-869-4762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2023-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC91091223G0001X
KY99531223G0001X
TN117621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice