Individual
DR. JOHN VERNON GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3525 RESOURCE DR, LIBERTY FAMILY RESOURCE DRIVE, RANDALLSTOWN, MD 21133-4733
(410) 887-0613
(410) 887-0713
Mailing address
9314 SOMBERSBY CT, LAUREL, MD 20723-5992
(410) 880-4336
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
7552
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7552
STATE DENTAL LICENSE NO.
MD
Enumeration date
04/03/2007
Last updated
07/08/2007
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