Individual
DR. JASON M GLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
934 S LEMAY AVE, FORT COLLINS, CO 80524-3207
(970) 498-8300
Mailing address
934 S LEMAY AVE, FORT COLLINS, CO 80524-3207
(970) 498-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00202938
CO
1223G0001X
General Practice Dentistry
Primary
DEN.00202938
CO
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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