Individual
DR. JASON AUSTIN GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3594 COVINGTON PIKE, MEMPHIS, TN 38128-3926
(631) 877-0239
Mailing address
1793 MADISON AVE APT 101, MEMPHIS, TN 38104-7608
(631) 877-0239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11426
TN
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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