Provider Demographics
NPI:1659662989
Name:JEFFREY J. BARTLEY DDS
Entity Type:Organization
Organization Name:JEFFREY J. BARTLEY DDS
Other - Org Name:ALASKA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-226-3700
Mailing Address - Street 1:PO BOX 945
Mailing Address - Street 2:
Mailing Address - City:ANCHOR POINT
Mailing Address - State:AK
Mailing Address - Zip Code:99556-0945
Mailing Address - Country:US
Mailing Address - Phone:907-226-3700
Mailing Address - Fax:907-226-3702
Practice Address - Street 1:34115 STERLING HWY
Practice Address - Street 2:
Practice Address - City:ANCHOR POINT
Practice Address - State:AK
Practice Address - Zip Code:99556
Practice Address - Country:US
Practice Address - Phone:907-226-3700
Practice Address - Fax:907-226-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty