Jeff Cartwright, DDS
Individual provider Active NPI General Practice Dentistry · Lebanon, IN
NPI 1285086645 · NPPES record last updated Jan 17, 2021
Key facts
- NPI
- 1285086645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12012599A (IN)
- Practice address
- 1911 N Lebanon St
Lebanon, IN 46052-1506 - Phone
- (765) 482-4538
- Fax
- (765) 484-8681
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160722000217 | MI | Order and Referring Only - Dentist |
8224321609 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012599A | IN | MD | General Practice Dentistry |
| 12012599B | IN | MD | General Practice Dentistry |
| 2901022014 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwright Dental LLC | Current |
Accepting new patients |
Locations
1911 N Lebanon St
Lebanon, IN 46052
Phone (317) 363-6781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012599B | IN | |
| General Practice Dentistry | 1223G0001X | 2901022014 | MI | |
| General Practice Dentistry | 1223G0001X | 12012599A | IN | Yes |
Addresses
Primary practice location
1911 N Lebanon St
Lebanon, IN 46052-1506
Mailing address
1911 N Lebanon St
Lebanon, IN 46052-1506
Phone (765) 482-4538
Other providers in Lebanon, IN
- Chloe Carlson
- Kaylei Carlson
- Lauren Carr
- Mitchell Lee Carter
- Cartwright Dental LLC
- Thomas Ray Cartwright
- Anahi Castro
- Jarod Ryan Cates
- Jonathon Wade Cavins
- CG-Dsa, LLC
All providers in Lebanon, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.