# P A GLIDDEN FAMILY DENTISTRY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DR GLIDDENS FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083735195
- **Authorized official:** DR. PHILLIP ARNOLD GLIDDEN DDS (PRESIDENT)
- **Authorized official phone:** (208) 263-8514

## Contact information

- **Practice address:** 103 SUPERIOR ST, SANDPOINT, ID 83864-1394
- **Practice address phone:** (208) 263-8514
- **Mailing address:** 103 SUPERIOR ST, SANDPOINT, ID 83864-1394
- **Mailing address phone:** (208) 263-8514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1968 | ID | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/22/2020