# DARRELL BARTLEY JR., DMD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417002460
- **Authorized official:** DR. DARRELL G. BARTLEY JR. DMD (PRESIDENT)
- **Authorized official phone:** (606) 677-0238

## Contact information

- **Practice address:** 296 MEDPARK DRIVE, SOMERSET, KY 42503
- **Practice address phone:** (606) 677-0238
- **Practice address fax:** (606) 679-2149
- **Mailing address:** 296 MEDPARK DRIVE, SOMERSET, KY 42503
- **Mailing address phone:** (606) 677-0238
- **Mailing address fax:** (606) 679-2149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6761 | KY | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 01/16/2014