Provider Demographics
NPI:1598823874
Name:BARTZ & BARTZ DENTAL INC
Entity Type:Organization
Organization Name:BARTZ & BARTZ DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-430-4440
Mailing Address - Street 1:8704 S RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-1068
Mailing Address - Country:US
Mailing Address - Phone:708-430-4440
Mailing Address - Fax:708-430-4528
Practice Address - Street 1:8704 S RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-1068
Practice Address - Country:US
Practice Address - Phone:708-430-4440
Practice Address - Fax:708-430-4528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19014517122300000X
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty