Individual
GLENN D SPRADLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2000 CARTER AVE, ASHLAND, KY 41101-7737
(606) 329-1440
(606) 329-2441
Mailing address
PO BOX 1587, ASHLAND, KY 41105-1587
(606) 329-1440
(606) 329-2441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5782
KY
1223P0221X
Pediatric Dentistry
Primary
5782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60057825
—
KY
Enumeration date
08/17/2006
Last updated
04/06/2010
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