Kadeem Bartley
Dentist, Pediatric Dentistry in Windsor, Connecticut
1720473267- Practice location
- 697 Poquonock Ave, Windsor, CT 06095-2249
- Phone
- 860-219-0933
- Fax
- 860-219-1482
- Last updated
- October 14, 2024
Kadeem Bartley is a Dentist, Pediatric Dentistry based in Windsor, CT. Kadeem Bartley practices in Windsor, CT. The NPI Number for Kadeem Bartley is 1720473267 and holds a License No. 059451-1 (NY). The current practice location address for Kadeem Bartley is 697 Poquonock Ave, Windsor, CT 06095-2249 and can be reached out via phone at 860-219-0933 and via fax at 860-219-1482.
Provider Profile Details
- NPI Number
- 1720473267
- Provider Name
- Kadeem Bartley
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 697 Poquonock Ave, Windsor, CT 06095-2249
- Phone Number
- 860-219-0933
- Fax Number
- 860-219-1482
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2015
- Last Update Date
- October 14, 2024
- Certification Date
- October 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 697 Poquonock Ave
Windsor, CT 06095-2249 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-2249
- Phone Number
- 860-219-0933
- Fax Number
- 860-219-1482
Provider Business Mailing Address Details
- Address
- 697 Poquonock Ave
Windsor, CT 06095-2249 - City
- Windsor
- State
- CT
- Zip
- 06095-2249
- Phone Number
- 860-219-0933
- Fax Number
- 860-219-1482
License Information
- License Number (1)
- 059451-1
- License State (1)
- NY
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 059451-1
- License State (2)
- NY
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- 12443
- License State (4)
- CT
- Taxonomy (4)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kadeem Bartley?
The NPI number of Kadeem Bartley is 1720473267. It was assigned on April 1, 2015 and is currently active in the NPPES registry.
What is the specialty of Kadeem Bartley?
Kadeem Bartley is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 059451-1.
Where does Kadeem Bartley practice?
The practice location is 697 Poquonock Ave, Windsor, CT 06095-2249. The office can be reached at 860-219-0933 (phone) or 860-219-1482 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720473267 directly on the NPPES registry website.