Bartlett, Dean M

Bartlett, Dean M is an individual health care provider with primary practice located at 333 Aviation Rd Bldg A , Queensbury NY 12804-2915. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bartlett, Dean M can be contacted via phone (518) 793-8511.

Contact Information

Primary practice address
333 Aviation Rd Bldg A Queensbury NY 12804-2915
Fax: (518) 793-8588
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 031432-1 New York

Profile Details

NPI number 1366651309
LBN Legal business name Bartlett, Dean M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Apr 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366651309 NPPES
New York Other 141629796 TAX IDENTIFICATION NUMBER

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