Organization · Type 2 NPI
Jacob L. Barthold Dds, PA
Dental Clinic/Center · Forest Lake, MN
NPI number
1851815310
Active
Practice location
69 Lake St N Ste 100
Forest Lake, MN 55025-2527
Mailing address
107 E Bridge St
Redwood Falls, MN 56283-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D13073 (MN) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Forest Lake
About NPI 1851815310
Jacob L. Barthold Dds, PA's National Provider Identifier is 1851815310, issued on Jul 26, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Forest Lake, MN. The record was last updated on Jul 26, 2017.