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

DR. GLENN IAN MAZE, DDS

Active

DR. GLENN IAN MAZE, DDS is a Periodontology healthcare provider located in AUGUSTA, Georgia. NPI 1740210855 is currently active in the NPPES registry. Verify at CMS.

Periodontology · AUGUSTA, GA

Registration Details

NPI Number: 1740210855
Provider Type: Individual
Gender: Male
NPI Issued: Jul 4, 2006 (20.072556376625 yrs)
Last Updated: Jul 9, 2007
License: DNF000332 (GA)

Practice Information

Address: 1459 LANEY WALKER BLVD

AD1501

AUGUSTA, GA, 309120002
Browse GA providers · Browse ZIP 30912
Phone: 7067210505
Fax: 7067216778
Primary Specialty: Periodontology
1223P0300X

Other Periodontology Providers in AUGUSTA, GA

Name	Credential	NPI
DR. PATRICK J BASQUILL	DDS	1427001544
DR. HEATHER RENEE WATKINS	DMD	1093768350
DR. PHILIP J HANES	DDS	1417900929
DR. JUDSON STEPHEN HICKEY	D.M.D.	1033152988
DR. MARK EUGENE PEACOCK	DMD, MS	1578652616
DR. JEFFREY JEROME DENT	DDS	1952465742

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.