Provider Demographics
NPI:1174796155
Name:BARTNER, NORMAN G (DMD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:G
Last Name:BARTNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 CLOSTER DOCK RD
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-2445
Mailing Address - Country:US
Mailing Address - Phone:201-768-2112
Mailing Address - Fax:201-768-9650
Practice Address - Street 1:277 CLOSTER DOCK RD
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-2445
Practice Address - Country:US
Practice Address - Phone:201-768-2112
Practice Address - Fax:201-768-9650
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI007456122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist