| Eugene H. Glad D.m.d. P.a. | |
|
11 Middle St Suite 1 Augusta ME 04330-5210 | |
| (207) 622-1430 | |
| Not Available |
| Full Name | Eugene H. Glad D.m.d. P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11 Middle St, Augusta, Maine |
| Authorized Official Name and Position | Eugene Harrison Glad (ORTHODONTIST) |
| Authorized Official Contact | 2076221430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene H. Glad D.m.d. P.a. 11 Middle St Suite 1 Augusta ME 04330-5210 Ph: (207) 622-1430 | Eugene H. Glad D.m.d. P.a. 11 Middle St Suite 1 Augusta ME 04330-5210 Ph: (207) 622-1430 |
| NPI Number | 1326376567 |
|---|---|
| Provider Enumeration Date | 11/30/2009 |
| Last Update Date | 11/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326376567 | NPI | - | NPPES |
| 123710000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DEN2870 (Maine) | Primary |
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