Individual
DR. VIRGIL ANTHONY WILLIAM BARTELS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
811 WINDOVER RD, STE A, JONESBORO, AR 72401-6094
(870) 935-8000
(870) 930-3977
Mailing address
811 WINDOVER RD STE A, STE A, JONESBORO, AR 72401-6094
(870) 935-8000
(870) 930-3977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3161
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162407608
ARKANSAS MEDICAID
AR
01
—
5T143
ARKANSAS BLUE CROSS BLUE SHIELD
AR
01
—
855177
UNITED CONCORDIA ID
AR
Enumeration date
07/01/2005
Last updated
11/18/2015
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