MEDICARE: BARTZ & BARTZ DENTAL INC

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
1	122300000X	Dentist	19014517	IL
2	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1598823874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARTZ & BARTZ DENTAL INC

Provider Business Mailing Address
First Line	:	8704 S RIDGELAND AVE
Second Line	:
City	:	OAKLAWN
State	:	IL
Zip	:	60453-1068
Country	:	US
Telephone Number	:	708-430-4440
Fax Number	:	708-430-4528

Provider Business Practice Location Address
First Line	:	8704 S RIDGELAND AVE
Second Line	:
City	:	OAKLAWN
State	:	IL
Zip	:	60453-1068
Country	:	US
Telephone Number	:	708-430-4440
Fax Number	:	708-430-4528

Authorized Official
Title or Position	:	DDS CO OWNER
Name	:	DR. DENIS JOSEPH BARTZ
Credential	:
Telephone Number	:	708-430-4440

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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Directions to “BARTZ & BARTZ DENTAL INC ” Practice Location

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