JACOB L. BARTHOLD DDS, PA
NPI 1851815310
Clinic/Center - Dental in Forest Lake, MN

Active since July 26, 2017
69 LAKE ST N STE 100, FOREST LAKE, MN 55025(763) 746-6567 Get Directions Write a Review

NPPES record last updated: July 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob L. Barthold Dds, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB L. BARTHOLD DDS, PA (NPI 1851815310) is a healthcare organization registered as a dental in Forest Lake, Minnesota and active in the NPI registry since July 2017. The organization lists Jacob Lee Barthold, President, as its authorized official.

NPPES Registry Identity

NPI1851815310
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJACOB L. BARTHOLD DDS, PA
Location Address69 LAKE ST N STE 100Forest Lake, MN 55025-2527
Mailing Address107 E Bridge StRedwood Falls, MN 56283-1621 · (763) 746-6567
Organization SubpartNo
Authorized OfficialJacob Lee BartholdPresident · (763) 746-6567
Enumeration DateJuly 26, 2017
NPI 1851815310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MN · D13073
69 LAKE ST N STE 100, Forest Lake, MN 55025

Other Identifiers 1

Medicaid1457613028MN

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
69 LAKE ST N STE 100
FOREST LAKE, MN 55025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob L. Barthold Dds, PA's NPI number?

The NPI number for Jacob L. Barthold Dds, PA is 1851815310. It was assigned to this organization in the NPPES registry on July 26, 2017.

Where is Jacob L. Barthold Dds, PA located?

Jacob L. Barthold Dds, PA is located at 69 Lake St N Ste 100, Forest Lake, MN 55025. The listed phone number is (763) 746-6567.

What is Jacob L. Barthold Dds, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Jacob L. Barthold Dds, PA accept?

Health plans from UnitedHealthcare list Jacob L. Barthold Dds, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob L. Barthold Dds, PA was last updated on July 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.