Individual
DR. DEAN M BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
333 AVIATION RD BLDG A, QUEENSBURY, NY 12804-2915
(518) 793-8511
(518) 793-8588
Mailing address
333 AVIATION RD BLDG A, QUEENSBURY, NY 12804-2915
(518) 793-8511
(518) 793-8588
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
031432-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141629796
TAX IDENTIFICATION NUMBER
NY
Enumeration date
05/22/2007
Last updated
04/18/2012
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