# GLENN A MEAD DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902063134
- **Authorized official:** GLENN ARTHUR MEAD D.D.S. (DENTIST)
- **Authorized official phone:** (405) 527-6568

## Contact information

- **Practice address:** 129 N 3RD AVE STE B, 129 N 3RD AVE STE B, PURCELL, OK 73080-4246
- **Practice address phone:** (405) 527-6568
- **Practice address fax:** (405) 527-6569
- **Mailing address:** 129 N 3RD AVE STE B, PURCELL, OK 73080-4246
- **Mailing address phone:** (405) 527-6568
- **Mailing address fax:** (405) 527-6569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3856 | OK | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100088780 A | — | OK |