Gregory L. Glade, DMD

Dentist · Port Byron, IL

Individual Active NPI

NPI number 1548367600

Practice location

308 11TH Street North
Port Byron, IL 61275-9038
Phone
(309) 523-3325
Fax
(309) 523-9078

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NPI record

NPI
1548367600
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X — IL

About Dr. Glade

Gregory L. Glade, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 308 11TH Street North, Port Byron, IL 61275-9038. The NPI number 1548367600 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Gregory L. Glade, DMD?

The NPI number is 1548367600.

What is the phone number of Dr. Glade?

The phone number listed for the practice location is (309) 523-3325.

Where is Dr. Glade located?

308 11TH Street North, Port Byron, IL 61275-9038.

What is the taxonomy code for Dr. Glade?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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