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Provider Information for 1700939196

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. BARTEL VANOOSTENDORP V D.D.S.

Gender: MALE

Individual NPI: 1700939196

Calendar   Last Updated:  2014-01-14
  Certification Date: 

Details

Name Value
NPI 1700939196
Enumeration Date 2007-01-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4 MARKET ST STE 4202
BREVARD, NC 28712-5637
United States

Phone: 828-884-3702 | Fax: 828-877-4065
View Map External Link
Primary Practice Address 4 MARKET ST STE 4202
BREVARD, NC 28712-5637
United States

Phone: 828-884-3702 | Fax: 828-877-4065
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NC NC8913
No 1223G0001X - Dentist General Practice AZ 5677