Individual
DR. BOBBIE K BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6521 S WESTERN AVE, STE A, OKLAHOMA CITY, OK 73139-1705
(405) 634-2313
(405) 634-0474
Mailing address
28243 S LOVERS LN, PARK HILL, OK 74451-2939
(405) 641-4544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5101
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73-1435469
TAX ID
—
Enumeration date
06/11/2005
Last updated
08/10/2014
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