Healthcare Provider Details

I. General information

NPI: 1659662989
Provider Name (Legal Business Name): JEFFREY J. BARTLEY DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34115 STERLING HWY
ANCHOR POINT AK
99556
US

IV. Provider business mailing address

PO BOX 945
ANCHOR POINT AK
99556-0945
US

V. Phone/Fax

Practice location:
  • Phone: 907-226-3700
  • Fax: 907-226-3702
Mailing address:
  • Phone: 907-226-3700
  • Fax: 907-226-3702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY JAMES BARTLEY
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 907-226-3700