Organization Active NPI

Robert H Wright DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Macon, GA
National Provider Identifier
1891852588
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
007666 Issued in GA
Legal business name
ROBERT H WRIGHT DDS PA
Practice address
1502 Forsyth St
Macon, GA 31201
Phone
(478) 742-1218
Fax
(478) 755-9679
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Hughes Wright, DDS
Title
President
Phone
(478) 742-1218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 007666 GA Primary

Addresses

Primary practice location

1502 Forsyth St
Macon, GA 31201

Mailing address

1502 Forsyth St
Macon, GA 31201
Phone (478) 742-1218

Other identifiers 1

IdentifierTypeStateIssuer
00111669AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1502 Forsyth St
Macon, GA 31201
Phone (478) 742-1218

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891852588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-742-1218",
            "fax_number": "478-755-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 FORSYTH ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-742-1218",
            "fax_number": "478-755-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H WRIGHT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-742-1218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "007666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00111669A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.