Provider Demographics
NPI:1477251023
Name:ANDREW F BARTISH DDS LLC
Entity Type:Organization
Organization Name:ANDREW F BARTISH DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARTISH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-807-3652
Mailing Address - Street 1:5916 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-6245
Mailing Address - Country:US
Mailing Address - Phone:513-661-5800
Mailing Address - Fax:
Practice Address - Street 1:5916 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-6245
Practice Address - Country:US
Practice Address - Phone:513-661-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386956738OtherNPI NUMBER
1467190389OtherNPI NUMBER