Organization
BRENTON E GLASSELL DDS MDS PLLC
Active
Other names
Weiss and Glassell Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTON GLASSELL DDS, MDS (DENTIST)
(901) 767-7370
Entity
Organization
Contact information
Practice address
5866 RIDGE BEND RD STE 1, MEMPHIS, TN 38120-9477
(901) 767-7370
(901) 685-7854
Mailing address
5866 RIDGE BEND RD STE 1, MEMPHIS, TN 38120-9477
(901) 767-7370
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197586608
—
TN
Enumeration date
12/21/2020
Last updated
07/18/2022
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