GLADE DENTAL PRACTICE LLC
NPI 1922463488
Clinic/Center - Dental in Reisterstown, MD
- Organization
- Clinic/Center
- Dental
About GLADE DENTAL PRACTICE LLC
This page provides the complete NPI Profile along with additional information for Glade Dental Practice Llc, a provider established in Reisterstown, Maryland operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1922463488 assigned on December 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 16179 (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ketan Ginoya (Manager)
- NPI
- 1922463488 Verify this NPI
- Provider Name
- GLADE DENTAL PRACTICE LLC
- Entity Type
- Organization
- Location Address
- 11710 REISTERSTOWN RD 201 REISTERSTOWN, MD 21136
- Location Phone
- (410) 833-8380
- Mailing Address
- 11710 REISTERSTOWN RD 201 REISTERSTOWN, MD 21136
- Mailing Phone
- (410) 833-8380
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2015
- Last Update Date
- 12-28-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 16179
- License State
- MD
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
REISTERSTOWN, MD 21136
REISTERSTOWN, MD 21136
REISTERSTOWN, MD 21136
REISTERSTOWN, MD 21136
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922463488, enumerated as an "organization" on December 28, 2015.
The provider is located at 11710 REISTERSTOWN RD 201 REISTERSTOWN, MD 21136 and the phone number is (410) 833-8380.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
