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DR. MARCELLUS GLADNEY D.M.D.
NPI 1659362333
Dentist - Pediatric Dentistry in Grants, NM

Active since November 02, 2005
1209 BONITA ST, GRANTS, NM 87020(505) 876-4034(505) 876-4036 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marcellus Gladney D.m.d. NPPES

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

DR. MARCELLUS GLADNEY D.M.D. (NPI 1659362333) is an individual pediatric dentistry provider in Grants, New Mexico, licensed in New Mexico (DD1966) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1659362333
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARCELLUS GLADNEYCredential: D.M.D.
Location Address1209 BONITA STGrants, NM 87020-2103
Mailing Address1905 Blue Spruce DrGrants, NM 87020-4213 · (505) 876-1065 · Fax (505) 876-4036
Phone(505) 876-4034
Fax(505) 876-4036
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1659362333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NM · DD1966
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1209 BONITA ST, Grants, NM 87020
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Other Identifiers 2

MedicaidZ9089NM
Medicaid8615NM

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBIN SIMON BERRIN D.M.D.
Dentist (General Practice)
1209 BONITA ST
GRANTS, NM 87020
Cibola County (505) 876-4034
PATRICIA B. VALDIVIA D.D.S.,P.C.
Dentist (General Practice)
1209 BONITA ST
GRANTS, NM 87020
Cibola County (505) 876-4034
DR. PATRICIA B VALDIVIA DDS
Dentist (General Practice)
1209 BONITA ST
GRANTS, NM 87020
Cibola County (505) 876-4034
DERRICK BACA DDS LLC
Dentist (General Practice)
1209 BONITA ST
GRANTS, NM 87020
Cibola County (505) 876-4034

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 Marcellus Gladney's NPI number?

The NPI number for Marcellus Gladney is 1659362333. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Marcellus Gladney located?

Marcellus Gladney practices at 1209 Bonita St, Grants, NM 87020. The listed phone number is (505) 876-4034.

What is Marcellus Gladney's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Marcellus Gladney was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.