Dr Jack Otto Glander, DDS is a
Dentist based in Bellcourt, North Dakota. Dr Jack Otto Glander is licensed to practice in North Dakota (license number 1384) and his current practice location is
1 Hospital Rd, Bellcourt, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 477-6111.
NPI number for Dr Jack Otto Glander is 1962579011 and his current mailing address is Rr 1 Box 87p, Rolette, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962579011.
Healthcare Provider's Profile
| Full Name | Dr Jack Otto Glander |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 1 Hospital Rd, Bellcourt, North Dakota |
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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: 1962579011
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jack Otto Glander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962579011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 1384 (North Dakota) | 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 Jack Otto Glander 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 Jack Otto Glander, DDS
Rr 1 Box 87p,
Rolette, ND 58366-9764
Ph: (701) 246-3696 | Dr Jack Otto Glander, DDS
1 Hospital Rd,
Bellcourt, ND 58316
Ph: (701) 477-6111 |
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