Individual provider · NPI-1

Darrell Gene Bartley Jr., DMD

Dentist · Somerset, KY

NPI number1548375462
StatusActive
Last updated in NPPESJan 16, 2014

Details

NPI
1548375462
Entity type
Individual (NPI-1)
Name
Darrell Gene Bartley Jr.
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 20, 2006
Last updated
Jan 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6761KYYes

Other names

  • Darrell Bartley (Professional Name)

Practice location

296 Medpark Drive
Somerset, KY 42503

Phone 606-677-0238 · Fax 606-679-2149

Mailing address

296 Medpark Drive
Somerset, KY 42503

Phone 606-677-0238 · Fax 606-679-2149

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