| Glenn A Mead Dds Pc | |
|
129 N 3rd Ave Ste B 129 N 3rd Ave Ste B Purcell OK 73080-4246 | |
| (405) 527-6568 | |
| (405) 527-6569 |
| Full Name | Glenn A Mead Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 129 N 3rd Ave Ste B, Purcell, Oklahoma |
| Authorized Official Name and Position | Glenn Arthur Mead (DENTIST) |
| Authorized Official Contact | 4055276568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn A Mead Dds Pc 129 N 3rd Ave Ste B Purcell OK 73080-4246 Ph: (405) 527-6568 | Glenn A Mead Dds Pc 129 N 3rd Ave Ste B 129 N 3rd Ave Ste B Purcell OK 73080-4246 Ph: (405) 527-6568 |
| NPI Number | 1902063134 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902063134 | NPI | - | NPPES |
| 100088780 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3856 (Oklahoma) | Primary |
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