| C W Bartholomew, Dds, Pc | |
|
3415 S Lafountain St Suite C Kokomo IN 46902-3802 | |
| (765) 453-0291 | |
| Not Available |
| Full Name | C W Bartholomew, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3415 S Lafountain St, Kokomo, Indiana |
| Authorized Official Name and Position | Charles W Bartholomew (PRACTICE OWNER) |
| Authorized Official Contact | 7654530291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C W Bartholomew, Dds, Pc 3415 S Lafountain St Suite C Kokomo IN 46902-3802 Ph: (765) 453-0291 | C W Bartholomew, Dds, Pc 3415 S Lafountain St Suite C Kokomo IN 46902-3802 Ph: (765) 453-0291 |
| NPI Number | 1568813640 |
|---|---|
| Provider Enumeration Date | 06/29/2016 |
| Last Update Date | 06/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568813640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12009183B (Indiana) | Primary |
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