Organization
JASON T GLADWELL D.D,S., P.A.
Active
Organization
JASON T GLADWELL D.D,S., P.A.
Active
Other names
Gladwell Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON THOMAS GLADWELL D.D.S., M.S.D. (CEO/ ORTHODONTIST)
(919) 923-8513
Entity
Organization
Contact information
Practice address
2824 ROGERS RD, SUITE 200, WAKE FOREST, NC 27587
(919) 923-8513
Mailing address
3650 ROGERS RD, #330, WAKE FOREST, NC 27587-9306
(919) 923-8513
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7981
NC
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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