Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN CONRAD HORNBUCKLE, DDS MS FACD
ActiveGLEN CONRAD HORNBUCKLE, DDS MS FACD is a Periodontology healthcare provider located in OKLA CITY, Oklahoma. NPI 1487711081 is currently active in the NPPES registry. Verify at CMS.
Periodontology · OKLA CITY, OK
Registration Details
- NPI Number
- 1487711081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.638782419439 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3816 (OK)
Practice Information
- Address
-
8203 S WALKER AVEOKLA CITY, OK, 731399451Browse OK providers · Browse ZIP 73139
- Phone
- 4056361411
- Fax
- 4056361197
- Primary Specialty
-
Periodontology
1223P0300X
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.