# BRENTON E GLASSELL DDS MDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weiss and Glassell Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770179061
- **Authorized official:** BRENTON GLASSELL DDS, MDS (DENTIST)
- **Authorized official phone:** (901) 767-7370

## Contact information

- **Practice address:** 5866 RIDGE BEND RD STE 1, MEMPHIS, TN 38120-9477
- **Practice address phone:** (901) 767-7370
- **Practice address fax:** (901) 685-7854
- **Mailing address:** 5866 RIDGE BEND RD STE 1, MEMPHIS, TN 38120-9477
- **Mailing address phone:** (901) 767-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2020
- **Last updated:** 07/18/2022