Provider Demographics
NPI:1285760876
Name:BARTELL, FRANCESCA ANN (RDHAP)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:ANN
Last Name:BARTELL
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 LES MAISONS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3064
Mailing Address - Country:US
Mailing Address - Phone:805-937-2526
Mailing Address - Fax:
Practice Address - Street 1:3645 LES MAISONS DR
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-3064
Practice Address - Country:US
Practice Address - Phone:805-937-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAP30124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY00030OtherDENTI-CAL PROVIDER ID
CAZ89979-01OtherDENTI-CAL BILLING PRVDR