Provider Demographics
NPI:1851403570
Name:BARTUSIAK, ROBERT ANDREW (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
Last Name:BARTUSIAK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WATERDAM PLAZA DR
Mailing Address - Street 2:SUITE 280
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5410
Mailing Address - Country:US
Mailing Address - Phone:724-941-3090
Mailing Address - Fax:724-941-3018
Practice Address - Street 1:2000 WATERDAM PLAZA DR
Practice Address - Street 2:SUITE 280
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5410
Practice Address - Country:US
Practice Address - Phone:724-941-3090
Practice Address - Fax:724-941-3018
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-023570-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice