Individual
DR. JAMES JOSEPH GLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223
(270) 798-8751
(270) 956-0266
Mailing address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223
(270) 798-8751
(270) 956-0266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019249
IL
1223G0001X
General Practice Dentistry
DE00008689
WA
Other
Enumeration date
01/19/2006
Last updated
07/08/2016
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