Individual
DR. ANDREW WILLIAM GLASSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2202 N BERKSHIRE RD STE 101, CHARLOTTESVILLE, VA 22901-2761
(434) 296-0188
Mailing address
2202 N BERKSHIRE RD STE 101, CHARLOTTESVILLE, VA 22901-2761
(336) 655-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10152
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401415634
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10152
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
8798
NC
Other
Enumeration date
04/13/2009
Last updated
03/17/2018
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