Individual
DR. PENDLETON GLASS WALDRON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
430 WEST 20TH ST, NEWTON, NC 28658
(828) 464-9220
(828) 464-9234
Mailing address
430 WEST 20TH ST, NEWTON, NC 28658
(828) 464-9220
(828) 464-9234
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998815
—
NC
01
—
98815
BCBS
NC
Enumeration date
04/04/2006
Last updated
07/08/2007
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