BARTLEY DENTISTRY


Address: 697 Poquonock Ave., Windsor, CT 06095-2259
Phone: 8602190933

BARTLEY DENTISTRY (NPI# 1730719279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730719279
Entity Type Organization
Organization Name BARTLEY DENTISTRY
Practice Address 697 Poquonock Ave.
Windsor
CT 06095-2259
Mailing Address 28 Brighton Dr
East Granby
CT 06026-9423
Practice Telephone 8602190933
Mailing Telephone 8607512470
Enumeration Date 2020-01-23
Last Update Date 2020-01-23
Authorized Official Name DR. KADEEM BARTLEY (DIRECTOR)
Authorized Official Telephone 8607512470
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations BARTLEY DENTISTRY, PLLC 28 Brighton Drive, East Gramby, CT 06026

Office Location

Street Address 697 POQUONOCK AVE.
City WINDSOR
State CT
Zip Code 06095-2259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275166712 Lisa St.bernard Dentist 697 Poquonock Ave., Windsor, CT 06095 2020-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285255992 Dnd Group of Companies LLC Psychologist 204 Old Village Cir, Windsor, CT 06095 2020-05-04
1811467442 Joseph C Gaetani Jr. Specialist 340 Broad Street Suite 320, Windsor, CT 06095 2018-11-27
1447629043 Brittany Higginbotham Marriage & Family Therapist 347 Park Avenue, Windsor, CT 06095 2015-09-24
1457737454 Eric Han Dentist 697 Poquonock Ave, Windsor, CT 06095 2015-08-03
1265780894 Annetta Ruth Troche Nurse Practitioner 22 Parkwood Drive, Windsor, CT 06095 2012-08-29
1821234006 Milna Rosario Social Worker 6 Poquonock Avenue, Windsor, CT 06095 2008-12-18
1962686824 Kimberly Ju Kim Pediatrics 820 C Prospect Hill Road, Windsor, CT 06095 2007-12-27
1972708758 Price Chopper Inc Pharmacy 675 Poquoncock Ave, Windsor, CT 06095 2007-06-20
1396870358 Occupational Health Centers of The Southwest, P.a., P.C. Clinic/Center 1080 Day Hill Road, Windsor, CT 06095 2007-02-22
1841342094 Thomas F. Reif Psychologist 32 Maple Avenue, Windsor, CT 06095 2007-01-17
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841639879 Amy Hua Banks Dentist 1349 Water Valley Pkwy Ste 101, Windsor, CO 80550-6264 2013-06-24
1548499205 Jill M Shonka Dentist 1299 Main St Unit C, Windsor, CO 80550-5918 2009-07-02
1750403754 Laura Van Roy Dentist 8741 Brooks Rd S, Suite 202, Windsor, CA 95492-7847 2007-04-03
1053690651 Jill Shonka, Dds, PC Dentist 1299 Main St Unit C, Windsor, CO 80550-5918 2011-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902426240 River Road Pediatric Dentistry, LLC Dentist 865 River Rd Ste 10, Shelton, CT 06484-5464 2020-04-16
1326507369 True Pediatric Dental Care LLC Dentist 233 Elm St Fl 2, West Haven, CT 06516-4635 2019-03-19
1740756345 Grace Tylo LLC Dentist 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 2018-10-22
1932684990 Orange Children's Dentistry, LLC Dentist 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 2018-09-26
1992293443 Braces On Me, P.C. Dentist 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 2018-04-30
1417452541 Bloomfield Pediatric Dentistry Pllc Dentist 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 2018-03-29
1033622246 Magicland Pediatric Dental LLC Dentist 815 Wolcott St, Waterbury, CT 06705-1301 2017-11-09
1023569654 The Little Tooth Company Pediatric Dentistry LLC Dentist 264 Queen St, Suite A, Southington, CT 06489-1901 2016-10-19
1386035707 Modern Family Dental Dentist 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 2015-02-06
1053727479 Sph3enterprise, LLC Dentist 194 Buckland Hills Drive, Manchester, CT 06042 2014-07-07
Find all providers with the same taxonomy

Competitor

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City WINDSOR
Zip Code 06095

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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