Provider Demographics
NPI:1841376985
Name:BARTLETT, JAMES OWEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:OWEN
Last Name:BARTLETT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11222 SKYLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:94062-4549
Mailing Address - Country:US
Mailing Address - Phone:650-726-2592
Mailing Address - Fax:650-726-2592
Practice Address - Street 1:850 MIDDLEFIELD RD
Practice Address - Street 2:STE 1
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2923
Practice Address - Country:US
Practice Address - Phone:650-326-1400
Practice Address - Fax:650-326-2909
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA204991223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics