Provider Demographics
NPI:1750385795
Name:CARTWRIGHT, CHRIS STEPHEN (DDS)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:STEPHEN
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX117901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice