Provider Demographics
NPI:1720085418
Name:OV CARTWRIGHT DOS INC
Entity Type:Organization
Organization Name:OV CARTWRIGHT DOS INC
Other - Org Name:GRAND PRARIE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-262-1395
Mailing Address - Street 1:117 N BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5800
Mailing Address - Country:US
Mailing Address - Phone:972-262-1395
Mailing Address - Fax:972-262-1397
Practice Address - Street 1:117 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5800
Practice Address - Country:US
Practice Address - Phone:972-262-1395
Practice Address - Fax:972-262-1397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty