Individual
DR. JASON THOMAS GLADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
2824 ROGERS ROAD, 200, WAKE FOREST, NC 27587
(919) 696-2266
Mailing address
3650 ROGERS RD, 330, WAKE FOREST, NC 27587-9306
(919) 696-2266
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7981
NC
Other
Enumeration date
05/17/2007
Last updated
08/22/2007
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