Individual
DR. GLENN GIBSON MCCALL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1909 TURNBURY DR, GREENVILLE, NC 27858-6168
(252) 353-9000
Mailing address
1909 TURNBURY DR, GREENVILLE, NC 27858-6168
(252) 353-9000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902CW
—
NC
Enumeration date
06/09/2006
Last updated
09/24/2012
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