Provider Demographics
NPI:1013962596
Name:BARTHMAN, JEAN ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:ELIZABETH
Last Name:BARTHMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:E MARSHALL
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:801 BREWSTER AVE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1557
Mailing Address - Country:US
Mailing Address - Phone:650-367-4967
Mailing Address - Fax:650-367-4979
Practice Address - Street 1:801 BREWSTER AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1557
Practice Address - Country:US
Practice Address - Phone:650-367-4967
Practice Address - Fax:650-367-4979
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35760122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist