Provider Demographics
NPI:1346829033
Name:BARTELL, CAITLIN (DDS)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:BARTELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3700 INWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2063
Mailing Address - Country:US
Mailing Address - Phone:410-782-5840
Mailing Address - Fax:
Practice Address - Street 1:1201 AGORA DR STE 2B
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-6859
Practice Address - Country:US
Practice Address - Phone:410-803-3367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MD173021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program