KADEEM BARTLEY NPI 1720473267

NPI Information

  • NPI: 1720473267
  • Provider Name: KADEEM BARTLEY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 697 POQUONOCK AVE
    WINDSOR, CT
    ZIP 06095
  • Phone: (860) 219-0933

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NPI Details

Kadeem Bartley is a pediatric dentistry dentist in Windsor, CT. The provider is 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. Kadeem Bartley NPI is 1720473267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

697 POQUONOCK AVE
WINDSOR, CT
ZIP 06095-249
Phone: (860) 219-0933
Fax: (860) 219-1482

The enumeration date for this NPI number is 4/1/2015 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist059451-1NEW YORKNo
21223G0001XDentistGeneral Practice059451-1NEW YORKNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
41223P0221XDentistPediatric Dentistry12443CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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