Provider Demographics
NPI:1669521712
Name:BARTLETT, ALLISON SLEMP (RDH)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:SLEMP
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 DOGWOOD DR SW
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-4606
Mailing Address - Country:US
Mailing Address - Phone:276-328-8000
Mailing Address - Fax:276-328-1020
Practice Address - Street 1:134 ROBERTS AVE SW
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-5800
Practice Address - Country:US
Practice Address - Phone:276-328-8000
Practice Address - Fax:276-376-1020
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0402203927124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist