Provider Demographics
NPI:1376832337
Name:HARTMAN, JOHN BIGELOW (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BIGELOW
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-2503
Mailing Address - Country:US
Mailing Address - Phone:415-421-0550
Mailing Address - Fax:415-421-1097
Practice Address - Street 1:685 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2503
Practice Address - Country:US
Practice Address - Phone:415-421-0550
Practice Address - Fax:415-421-1097
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215841223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics