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General NPI Number Information
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NPI Number | 1750852943
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Entity Type | Organization
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Legal Business Name | CARTWRIGHT DENTAL LLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 1911 N LEBANON ST
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City | LEBANON
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State | IN
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Zip | 46052-1506
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Country | US
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Telephone | 317-363-6781
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 N LEBANON ST
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City | LEBANON
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State | IN
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Zip | 46052-1506
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Country | US
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Telephone | 317-363-6781
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Fax |
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Authorized Official
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Title or Position | OWNER / GENERAL DENTIST
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Name | DR. JEFFREY HOLTZMAN CARTWRIGHT
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Credential | DDS
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Telephone | 317-363-6781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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