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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLEN MARTIN O'MALLEY, D.D.S., S.C.

Active Sole Proprietor

MR. GLEN MARTIN O'MALLEY, D.D.S., S.C. is a General Dentistry healthcare provider located in GREENFIELD, Wisconsin. NPI 1205090537 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GREENFIELD, WI

Registration Details

NPI Number
1205090537
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2008 (18.093697305027 yrs)
Last Updated
Jul 16, 2008
License
3802 (WI)
Sole Proprietor
Yes

Practice Information

Address
8555 W FOREST HOME AVE
GREENFIELD, WI, 532283408
Browse WI providers · Browse ZIP 53228
Phone
4144254005
Fax
4145299777
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in GREENFIELD, WI

Name Credential NPI
DR. JEFFREY K DEAN DDS 1104890441
RUSSELL DUNKEL DDS 1811001902
THOMAS J KRAKLOW DDS 1487768578
JOSE LUIS BARTOLOMEI D.D.S. 1407965098
DR. ANTONIO G CIGNO DMD 1265543284
DR. WILLIAM ROBERT BAGGOTT DDS 1851486484
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.