| Paul B. Glass Dds Pc | |
|
2004 Edison Rd Ste B South Bend IN 46617-1712 | |
| (574) 234-0900 | |
| Not Available |
| Full Name | Paul B. Glass Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2004 Edison Rd Ste B, South Bend, Indiana |
| Authorized Official Name and Position | Paul Bernard Glass (PRESIDENT/DENTIST) |
| Authorized Official Contact | 5742340900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul B. Glass Dds Pc 2004 Edison Rd Ste B South Bend IN 46617-1712 Ph: (574) 234-0900 | Paul B. Glass Dds Pc 2004 Edison Rd Ste B South Bend IN 46617-1712 Ph: (574) 234-0900 |
| NPI Number | 1881708683 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881708683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009864A (Indiana) | Primary |
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