Individual
DR. DAVID MICHAEL GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
512 LINCOLN ST, BEATRICE, NE 68310-2932
(402) 228-3119
(402) 228-3350
Mailing address
PO BOX 547, BEATRICE, NE 68310-0547
(402) 228-3119
(402) 228-3350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3723
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460496905-13
—
NE
Enumeration date
05/21/2007
Last updated
07/08/2007
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