Provider Demographics
NPI:1013136522
Name:BARTLETT, KARI LEIGH (DMD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:LEIGH
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:205 4TH AVE NE STE 101
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-1965
Mailing Address - Country:US
Mailing Address - Phone:256-739-5533
Mailing Address - Fax:256-739-0177
Practice Address - Street 1:205 4TH AVE NE STE 101
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-1965
Practice Address - Country:US
Practice Address - Phone:256-739-5533
Practice Address - Fax:256-739-0177
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5326332B00000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies