Organization
GLENN A MEAD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ARTHUR MEAD D.D.S. (DENTIST)
(405) 527-6568
Entity
Organization
Contact information
Practice address
129 N 3RD AVE STE B, 129 N 3RD AVE STE B, PURCELL, OK 73080-4246
(405) 527-6568
(405) 527-6569
Mailing address
129 N 3RD AVE STE B, PURCELL, OK 73080-4246
(405) 527-6568
(405) 527-6569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3856
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088780 A
—
OK
Enumeration date
05/16/2008
Last updated
05/16/2008
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