| Glow Dental | |
|
7636 Belair Rd Nottingham MD 21236-4088 | |
| (410) 663-1073 | |
| (410) 663-1072 |
| Full Name | Glow Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7636 Belair Rd, Nottingham, Maryland |
| Authorized Official Name and Position | Payam Nourmand (OWNER) |
| Authorized Official Contact | 4437621470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glow Dental 6510 Gardenwick Rd Baltimore MD 21209-2538 Ph: (443) 762-1470 | Glow Dental 7636 Belair Rd Nottingham MD 21236-4088 Ph: (410) 663-1073 |
| NPI Number | 1467190413 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Certification Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467190413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Secondary |
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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