Dr Gregory L Glade, DMD is a
Dentist based in Port Byron, Illinois. Dr Gregory L Glade is licensed to practice in Illinois (license number ) and his current practice location is
308 11th Street North, Port Byron, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 523-3325.
NPI number for Dr Gregory L Glade is 1548367600 and his current mailing address is 308 11th Street North, Port Byron, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548367600.
Healthcare Provider's Profile
| Full Name | Dr Gregory L Glade |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 308 11th Street North, Port Byron, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548367600
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gregory L Glade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548367600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory L Glade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gregory L Glade, DMD
308 11th Street North,
Port Byron, IL 61275-9038
Ph: (309) 523-3325 | Dr Gregory L Glade, DMD
308 11th Street North,
Port Byron, IL 61275-9038
Ph: (309) 523-3325 |
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