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NPI Code Detail

MEDICARE: JESSICA LYNN BARTLES DDS

MEDICARE:   JESSICA LYNN BARTLES  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.028418OH

General Provider Information

NPI Number : 1043148943
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNN BARTLES DDS
Provider Business Mailing Address
First Line : 2007 ELM RD NE
Second Line :
City : WARREN
State : OH
Zip : 44483-4003
Country : US
Telephone Number : 330-395-3820
Fax Number :
Provider Business Practice Location Address
First Line : 2007 ELM RD NE
Second Line :
City : WARREN
State : OH
Zip : 44483-4003
Country : US
Telephone Number : 330-395-3820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ JESSICA LYNN BARTLES DDS” Practice Location

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