Miss Jennifer Marie Bartlett
Dental Assistant
12121 Wilshire Blvd Ste 1111
Los Angeles
, California 90025-1188
Miss Jennifer Marie Bartlett
Dental Assistant
12121 Wilshire Blvd Ste 1111
Los Angeles
, California 90025-1188
(951) 775-5332
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Miss Jennifer Marie Bartlett
- 42885 Woodside Ct
- Hemet, CA
- Zip : 92544-3369
- Phone : (951) 775-5332
Second Address
- Miss Jennifer Marie Bartlett
- 12121 Wilshire Blvd Ste 1111
- Los Angeles, CA
- Zip : 90025-1188
- Phone : (951) 775-5332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 50653 | CA |
National Provider Identifier
| NPI | 1013436179 |
|---|---|
| Provider Name | Miss Jennifer Marie Bartlett |
| First Address | Hemet, CA 92544-3369 |
| Second Address | Los Angeles, CA 90025-1188 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2017 |
| Last Update Date | 12/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 50653 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.