Provider Demographics
NPI:1295715993
Name:BARTHEL, RALPH BROOKS (DDS)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:BROOKS
Last Name:BARTHEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 S. 1ST. STREET
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-0219
Mailing Address - Country:US
Mailing Address - Phone:989-695-9663
Mailing Address - Fax:
Practice Address - Street 1:143 SOUTH FIRST ST.
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:MI
Practice Address - Zip Code:48623-0219
Practice Address - Country:US
Practice Address - Phone:989-695-9663
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010082061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice