Provider Demographics
NPI:1851335236
Name:WRIGHT, ANGELA LYN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:LYN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:WRIGHT
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6275 UNIVERSITY DR NW # 37-354
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-1776
Mailing Address - Country:US
Mailing Address - Phone:256-679-3123
Mailing Address - Fax:
Practice Address - Street 1:12201 HIGHWAY 92 STE H
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7141
Practice Address - Country:US
Practice Address - Phone:678-202-4904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL48941223G0001X
GADN0122771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009982550Medicaid