Glen Conrad Hornbuckle, DDS MS FACD is a
Dentist - Periodontics based in Okla City, Oklahoma. Glen Conrad Hornbuckle is licensed to practice in Oklahoma (license number 3816) and his current practice location is
8203 S Walker Ave, Okla City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 636-1411.
NPI number for Glen Conrad Hornbuckle is 1487711081 and his current mailing address is 8203 S Walker Ave, Okla City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487711081.
Healthcare Provider's Profile
Full Name | Glen Conrad Hornbuckle |
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Gender | Male |
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Speciality | Dentist - Periodontics |
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Location | 8203 S Walker Ave, Okla City, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487711081
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Glen Conrad Hornbuckle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487711081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 3816 (Oklahoma) | 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. Glen Conrad Hornbuckle 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 |
Glen Conrad Hornbuckle, DDS MS FACD 8203 S Walker Ave, Okla City, OK 73139-9451 Ph: (405) 636-1411 | Glen Conrad Hornbuckle, DDS MS FACD 8203 S Walker Ave, Okla City, OK 73139-9451 Ph: (405) 636-1411 |
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