Provider Demographics
NPI:1083625446
Name:CARTWRIGHT, GARY EDWARD (DMD)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:EDWARD
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 MUNNTOWN RD
Mailing Address - Street 2:
Mailing Address - City:EIGHT FOUR
Mailing Address - State:PA
Mailing Address - Zip Code:15330
Mailing Address - Country:US
Mailing Address - Phone:724-942-1344
Mailing Address - Fax:
Practice Address - Street 1:6000 WATERDAM PLAZA
Practice Address - Street 2:SUITE 120
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:724-942-5130
Practice Address - Fax:724-942-4444
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027783L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics