Individual
DR. GLORY LYNN WINDMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3503 W BROADWAY BLVD, SEDALIA, MO 65301-2124
(660) 460-4176
Mailing address
2700 CRAFTSMAN DR, SEDALIA, MO 65301-4815
(214) 425-0649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2017028236
MO
1223G0001X
General Practice Dentistry
20863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151048910
—
TX
Enumeration date
10/10/2006
Last updated
04/14/2023
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