Mario Bartoletti, DMD
Individual provider Active NPI Dentist · Butte, MT
NPI 1447634407 · NPPES record last updated Jul 18, 2015
Key facts
- NPI
- 1447634407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN-DEN-LIC-9609 (MT)
- Practice address
- 445 Centennial Ave
Butte, MT 59701-2870 - Phone
- (406) 565-0951
- NPI assigned
- Jul 18, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160331002260 | MT | Order and Referring Only - Dentist |
6709183098 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-DEN-LIC-9609 | MT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN-DEN-LIC-9609 | MT | Yes |
Addresses
Primary practice location
445 Centennial Ave
Butte, MT 59701-2870
Mailing address
445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 565-0951
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.