Individual
DR. EDWARD ANTONE BARTOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
215 HICKORY ST, ANACONDA, MT 59711-2212
(406) 563-5450
Mailing address
215 HICKORY ST, ANACONDA, MT 59711-2212
(406) 563-5450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1410
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111930
—
MT
01
—
1410-4
BLUE CROSS
MT
01
—
5510713
CHIP
MT
Enumeration date
12/19/2006
Last updated
07/09/2007
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