Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY L GLADE DMD PC
Active OrganizationGREGORY L GLADE DMD PC is a Dentist organization located in PORT BYRON, Illinois. NPI 1609965763 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORT BYRON, IL
Registration Details
- NPI Number
- 1609965763
- Provider Type
- Organization
- NPI Issued
- Oct 12, 2006 (19.836525293273 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
308 11TH ST NORTHPORT BYRON, IL, 612759038Browse IL providers · Browse ZIP 61275
- Phone
- 3095233325
- Fax
- 3095239078
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.