Lebanon Dent Cornwall, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEBANON DENT CORNWALL, LLC

Doing business as

Lebanon Dental Cornwall

Practice address

1500 Cornwall Rd
Lebanon, PA 17042-7403

Phone

(717) 273-0411

Fax

(717) 769-2600

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael David Barton, D.M.D.NPI 1093987679

Title

Owner

Phone

(717) 376-9136

Specialties & licenses 1

Addresses

Other names 1

• Lebanon Dental Cornwall Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Barton Jr., D.M.D.

  • General Practice Dentistry
  • Lebanon, PA
  • NPI 1093987679
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1184459125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 RITA LN",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425865",
            "telephone_number": "717-376-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CORNWALL RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427403",
            "telephone_number": "717-273-0411",
            "fax_number": "717-769-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON DENT CORNWALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-376-9136",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Dental Cornwall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Commissioners (Cedar Haven Nursing Home)
• Lebanon County Commissioners
• Lebanon County Hearing Aid Center (Miracle Ear)
• Lebanon Emergency Medical Associates PLLC
• Lebanon Emergency Physicians PC
• Lebanon Eyecare Associates
• Lebanon Family Dental
• Lebanon Family Health Service Inc.

• Dental Clinic/Center in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.