Jason P Glassley D.D.S., M.S.D.

NPI 1679735898 - Dentist - 1223E0200X

NPI Details
NPI 1679735898
Gender Male
Enumeration Date 06/29/2008
Last Updated 06/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5718 COVENTRY LN
FORT WAYNE IN, 46804-7141, US
Phone (260) 436-5772
Fax (260) 436-5779
Business Location
1801 GALAPAGOS CT
FORT WAYNE IN, 46814-8872, US
Phone (260) 436-5772
Fax (260) 436-5779
Toxanomy
Taxonomy Code 1223E0200X
License State Indiana
License Number 12010736A
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According to our database, Dr. Jason P Glassley D.D.S., M.S.D. NPI is 1679735898, taxonomy code is 1223E0200X and license number is 12010736A, license state is located at Indiana. Jason P Glassley D.D.S., M.S.D. physically located at 5718 Coventry Ln, Fort Wayne IN, 46804-7141. NPI Number Jason P Glassley D.D.S., M.S.D. has the Individual type.

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1679735898 NPI number is provided on an as is basis without warranty of any kind. 1679735898 is maintained by the National Plan & Provider Enumeration System. The contents of Jason P Glassley D.D.S., M.S.D. are for informational purposes only.