BARTRAM DENTAL CENTER
NPI 1043576150
Durable Medical Equipment & Medical Supplies - Customized Equipment in Jacksonville, FL

Active since April 03, 2012
130 GATEWAY CIR, JACKSONVILLE, FL 32259(904) 201-6000(904) 201-6004 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bartram Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARTRAM DENTAL CENTER (NPI 1043576150) is a healthcare organization registered as a customized equipment in Jacksonville, Florida and active in the NPI registry since April 2012. The organization lists Jason Dean Lewis, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1043576150
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameJASON D LEWIS DDS PA
Location Address130 GATEWAY CIRJacksonville, FL 32259-4003
Mailing Address130 Gateway CirJacksonville, FL 32259-4003 · (904) 201-6000 · Fax (904) 201-6004
Fax(904) 201-6004
Organization SubpartNo
Authorized OfficialJason Dean LewisOwner/dentist · (904) 201-6000
Enumeration DateApril 3, 2012
Last NPPES UpdateMay 30, 2012
NPI 1043576150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BC3200X
License Licensed in FL · DN16561
130 GATEWAY CIR, Jacksonville, FL 32259

Other Names 1

Doing Business AsBartram Dental Center

Other Identifiers 1

Medicare NSC6682220001FL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
130 GATEWAY CIR
JACKSONVILLE, FL 32259
Dentist (General Practice)
130 GATEWAY CIR
JACKSONVILLE, FL 32259
Dentist
130 GATEWAY CIR
SAINT JOHNS, FL 32259
Clinic/Center (Dental)
130 GATEWAY CIR
JACKSONVILLE, FL 32259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason D Lewis Dds PA's NPI number?

The NPI number for Jason D Lewis Dds PA is 1043576150. It was assigned to this organization in the NPPES registry on April 3, 2012. The provider is doing business as Bartram Dental Center.

Where is Jason D Lewis Dds PA located?

Jason D Lewis Dds PA is located at 130 Gateway Cir, Jacksonville, FL 32259. The listed phone number is (904) 201-6000.

What is Jason D Lewis Dds PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Jason D Lewis Dds PA was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.