| Jacob L. Barthold Dds, Pa | |
|
69 Lake St N Ste 100 Forest Lake MN 55025-2527 | |
| (763) 746-6567 | |
| Not Available |
| Full Name | Jacob L. Barthold Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 69 Lake St N Ste 100, Forest Lake, Minnesota |
| Authorized Official Name and Position | Jacob Lee Barthold (PRESIDENT) |
| Authorized Official Contact | 7637466567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob L. Barthold Dds, Pa 107 E Bridge St Redwood Falls MN 56283-1621 Ph: (763) 746-6567 | Jacob L. Barthold Dds, Pa 69 Lake St N Ste 100 Forest Lake MN 55025-2527 Ph: (763) 746-6567 |
| NPI Number | 1851815310 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 07/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851815310 | NPI | - | NPPES |
| 1457613028 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D13073 (Minnesota) | Primary |
Travis W. Wille, Dds, Ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Lake St N, Suite 135, Forest Lake, MN 55025 Phone: 651-464-1151 Fax: 651-464-0620 | |
Libby Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N Ste 205, Forest Lake, MN 55025 Phone: 651-464-3052 | |
Lakes Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 956 West Broadway, Forest Lake, MN 55025 Phone: 651-464-7277 Fax: 651-464-6857 | |
Eric M Knaff P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Lake St N Ste 100, Forest Lake, MN 55025 Phone: 651-464-3425 Fax: 651-464-5432 | |
Rossodontics Dental Sleep Medicine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 Lake St S Ste 101, Forest Lake, MN 55025 Phone: 651-464-6988 | |
Southwest Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 12th St Sw Ste 2, Forest Lake, MN 55025 Phone: 612-261-4998 | |
Forest Lake Smiles, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1068 Lake St S, Forest Lake, MN 55025 Phone: 651-464-8207 |