Individual
KIM R GLICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
208 N WASHINGTON ST, TULLAHOMA, TN 37388-3649
(931) 455-3917
Mailing address
208 N WASHINGTON ST, TULLAHOMA, TN 37388-3649
(931) 455-3917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099288
BLUE CROSS BLUE SHIELD
TN
05
—
3225332
—
TN
Enumeration date
01/18/2006
Last updated
07/09/2007
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