Katherine P. Bartlett, DMD

Individual provider Active NPI General Practice Dentistry · Georgetown, KY

NPI 1619956869 · NPPES record last updated Jun 17, 2008

Key facts

NPI
1619956869
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6233 (KY)
Practice address
808 S Broadway St
Ste. 9
Georgetown, KY 40324-2305
Phone
(502) 863-2106
Fax
(502) 863-2180
NPI assigned
Jan 14, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6233KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6233 KY Yes

Addresses

Primary practice location

808 S Broadway St
Ste. 9
Georgetown, KY 40324-2305

Mailing address

808 S Broadway St
Suite 9
Georgetown, KY 40324-2305
Phone (502) 863-2106

Other providers in Georgetown, KY

All providers in Georgetown, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.