Kadeem Bartley

Pediatric Dentistry · Windsor, CT

Individual Active NPI

NPI number 1720473267

Practice location

697 Poquonock Ave
Windsor, CT 06095-2249
Phone
(860) 219-0933
Fax
(860) 219-1482

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NPI record

NPI
1720473267
Entity type
Individual (Type 1)
Enumeration date
April 1, 2015
Last updated
October 14, 2024
Certified
October 14, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 12443 CT
Dentist 122300000X 059451-1 NY
General Practice Dentistry 1223G0001X 059451-1 NY
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 70 W Main St, New Britain, CT 06051-4224 · (860) 223-7044

About Kadeem Bartley

Kadeem Bartley is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 697 Poquonock Ave, Windsor, CT 06095-2249. The NPI number 1720473267 was assigned on April 1, 2015 and the record was last updated on October 14, 2024.

Kadeem Bartley lists 3 licenses in the registry: #12443 (CT) for Pediatric Dentistry; #059451-1 (NY) for Dentist; #059451-1 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kadeem Bartley?

The NPI number is 1720473267.

What is the phone number of Kadeem Bartley?

The phone number listed for the practice location is (860) 219-0933.

Where is Kadeem Bartley located?

697 Poquonock Ave, Windsor, CT 06095-2249.

What is the taxonomy code for Kadeem Bartley?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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