Provider Demographics
NPI:1316715154
Name:JOSEPH E BARTHOLOMEW III DDS PLLC
Entity type:Organization
Organization Name:JOSEPH E BARTHOLOMEW III DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-524-1114
Mailing Address - Street 1:1341 WESTGATE CENTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3043
Mailing Address - Country:US
Mailing Address - Phone:336-768-1712
Mailing Address - Fax:
Practice Address - Street 1:1341 WESTGATE CENTER DR STE A
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3043
Practice Address - Country:US
Practice Address - Phone:336-768-1712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental