Individual provider Active NPI

Spencer Wright, DMD

  • General Practice Dentistry
  • Bowling Green, KY
National Provider Identifier
1164918843
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10475 Issued in KY
Practice address
426 Lovers LN
Bowling Green, KY 42103-8135
Phone
(270) 842-3837
Fax
(270) 599-1211
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10475 KY Primary

Addresses

Primary practice location

426 Lovers LN
Bowling Green, KY 42103-8135

Mailing address

426 Lovers LN
Bowling Green, KY 42103-8135
Phone (270) 842-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109002141 AL Order and Referring Only - DentistPractitioner - Dentist 8729332739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10475KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Dental Studio, PLLC General Practice CurrentSince Jun 29, 2025 Accepting new patients

Locations

426 Lovers Ln
Bowling Green, KY 42103
Phone (270) 842-3837

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1164918843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 LOVERS LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038135",
            "telephone_number": "270-842-3837",
            "fax_number": "270-599-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 LOVERS LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038135",
            "telephone_number": "270-842-3837",
            "fax_number": "270-599-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.