NPI 1467013102 · live from the CMS NPI Registry
Kenneth Dean Bartholomew, DDS
Dentist, General Practice in Fargo, ND. National Provider Identifier 1467013102, active.
NPI record
| NPI | 1467013102 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3210 18th St S Ste B, Fargo, ND 58104 |
| Practice phone | 701-237-4297 |
| Enumerated | June 24, 2019 |
| Last updated | June 24, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 2382 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.