Provider Demographics
NPI:1891802419
Name:BARTRO, ROBERT EDMUND
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDMUND
Last Name:BARTRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-5745
Mailing Address - Country:US
Mailing Address - Phone:401-769-8520
Mailing Address - Fax:
Practice Address - Street 1:516 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-5745
Practice Address - Country:US
Practice Address - Phone:401-769-8520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 1975122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist