GREGORY L GLADE DMD PC
NPI 1609965763
Dentist in Port Byron, IL

Q: What is Gregory L Glade Dmd PC's NPI number?

The NPI number for Gregory L Glade Dmd PC is 1609965763. It was assigned to this organization in the NPPES registry on October 12, 2006.

Q: What is Gregory L Glade Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 12, 2006

308 11TH ST NORTH, PORT BYRON, IL 61275(309) 523-3325(309) 523-9078 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gregory L Glade Dmd Pc NPPES

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

GREGORY L GLADE DMD PC (NPI 1609965763) is a healthcare organization registered as a dentist in Port Byron, Illinois and active in the NPI registry since October 2006. The organization lists Bernadette L Glade, Secretary Of Pc Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609965763

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGREGORY L GLADE DMD PC

Location Address308 11TH ST NORTHPort Byron, IL 61275-9038

Mailing Address308 11th St NorthPort Byron, IL 61275-9038 · (309) 523-3325 · Fax (309) 523-9078

Phone(309) 523-3325

Fax(309) 523-9078

Organization SubpartNo

Authorized OfficialBernadette L GladeSecretary Of Pc Office Manager · (309) 523-3325

Enumeration DateOctober 12, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609965763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

308 11TH ST NORTH, Port Byron, IL 61275

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Gregory L Glade Dmd PC's NPI number?

The NPI number for Gregory L Glade Dmd PC is 1609965763. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Gregory L Glade Dmd PC located?

Gregory L Glade Dmd PC is located at 308 11th St North, Port Byron, IL 61275. The listed phone number is (309) 523-3325.

What is Gregory L Glade Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Gregory L Glade Dmd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.