Provider Demographics
NPI:1750051918
Name:BARTLETT DENTISTRY
Entity Type:Organization
Organization Name:BARTLETT DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR BUSINESS OPERATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALAYDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-833-5110
Mailing Address - Street 1:333 W. 1ST STREET
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:630-833-5110
Mailing Address - Fax:630-833-0458
Practice Address - Street 1:333 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103
Practice Address - Country:US
Practice Address - Phone:630-830-6010
Practice Address - Fax:630-830-6075
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELMHURST DENTAL GROUP, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty