Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KADEEM BARTLEY
ActiveKADEEM BARTLEY is a Pediatric Dentistry healthcare provider located in WINDSOR, Connecticut. NPI 1720473267 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WINDSOR, CT
Registration Details
- NPI Number
- 1720473267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2015 (11.382282889503 yrs)
- Last Updated
- Oct 14, 2024
- Licenses
-
059451-1 (NY)059451-1 (NY)12443 (CT)
Practice Information
- Address
-
697 POQUONOCK AVEWINDSOR, CT, 060952249Browse CT providers · Browse ZIP 06095
- Phone
- 8602190933
- Fax
- 8602191482
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.