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

LINDA ANN GLICK, C.D.A. EFDA

Active Sole Proprietor

LINDA ANN GLICK, C.D.A. EFDA is a Dental Assistant healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1821544438 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · FORT LEONARD WOOD, MO

Registration Details

NPI Number
1821544438
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2016 (9.9722850099046 yrs)
Last Updated
Sep 1, 2016
Licenses
2013015015 (MO)
2013015016 (MO)
2013015017 (MO)
Sole Proprietor
Yes

Practice Information

Address
5047 VIRGINIA AVE.
FORT LEONARD WOOD, MO, 654731317
Browse MO providers · Browse ZIP 65473
Phone
5735960408
Fax
5735960314
Primary Specialty
Dental Assistant
126800000X
Additional Specialty
Dental Assistant
Additional Specialty
Dental Assistant

Other Dental Assistant Providers in FORT LEONARD WOOD, MO

Name Credential NPI
MELINDA JEAN MAGEE EFDA 1760833404
BRANDON LEE ZIMMER 1306298104
JUAN E TORUNO 1871945527
ROBERT BARTHOLOMEW POULARD 1942652086
DAWN RENEE KUBINSKI EFDA 1790138360
LORI ROAM 1699228668
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.