Provider Demographics
NPI:1669461554
Name:BARTHEL, JAMES (DDS,MS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BARTHEL
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 HIGHWAY 55
Mailing Address - Street 2:STE 202
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-3734
Mailing Address - Country:US
Mailing Address - Phone:651-437-3262
Mailing Address - Fax:651-437-7684
Practice Address - Street 1:925 HIGHWAY 55
Practice Address - Street 2:STE 202
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-3734
Practice Address - Country:US
Practice Address - Phone:651-437-3262
Practice Address - Fax:651-437-7684
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MND76551223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology