Provider Demographics
NPI:1386089100
Name:BARTKOVA, NATALIA (DDS)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:BARTKOVA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N CONGRESS AVE STE 185C
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-3364
Mailing Address - Country:US
Mailing Address - Phone:561-369-7199
Mailing Address - Fax:561-369-7179
Practice Address - Street 1:205 W END AVE
Practice Address - Street 2:1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4804
Practice Address - Country:US
Practice Address - Phone:646-414-6238
Practice Address - Fax:646-414-6239
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN278111223G0001X
NY050362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice