Individual
DR. GLENN IAN MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1459 LANEY WALKER BLVD, AD1501, AUGUSTA, GA 30912-0002
(706) 721-0505
(706) 721-6778
Mailing address
1459 LANEY WALKER BLVD, AD1501, AUGUSTA, GA 30912-0002
(706) 721-0505
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DNF000332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZG0332
—
SC
Enumeration date
07/04/2006
Last updated
04/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us