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DR. WILLIAM CHARLES BARTLING D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1578777991
Individual Registrant:DR. WILLIAM CHARLES BARTLING D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
6378 SE 125TH PL BELLEVIEW, FL 34420-5212 US
Tel: 352-245-1004 Fax: 352-245-1004
Tel: 352-245-1004 Fax: 352-245-1004
Contact information for business:
PO BOX 203 SUMMERFIELD, FL 34492-0203 US
Tel: 407-694-8107 Fax: 352-245-1004
Tel: 407-694-8107 Fax: 352-245-1004
Registration Information:
NPI: 1578777991
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223G0001X | Dental Providers Dentist General Practice | WV | 3654 |
| Y | 1223G0001X | Dental Providers Dentist | FL | 9768 |
| N | 1223G0001X | Dental Providers Dentist | NY | 051845 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
