Michael Robert Glassley in Fort Wayne - Dentist
Michael Robert Glassley - NPI 1841304573
Michael Robert Glassley is a Dentist in Fort Wayne, Indiana. Michael Robert Glassley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Robert Glassley is 1841304573. The last update date is 2007-07-08.
Michael Robert Glassley's current location address is 1612 Spring St, Fort Wayne, Indiana. You can contact this provider via phone number 2604263068. The mailing address for Michael Robert Glassley is 1612 Spring St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Robert Glassley |
|---|---|
| Address | 1612 Spring St, Fort Wayne, Indiana |
| Phone Number | 2604263068 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1841304573 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1612 Spring St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468083097 |
| Phone Number | 2604263068 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12006497 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84319 | IN | ANTHEMBCBS | |
| 4729 | IN | PHP |
Post Comment/ Review Below
What is the unique identification code assigned to Michael Robert Glassley by the Centers for Medicare & Medicaid Services?
The Michael Robert Glassley has been issued the NPI (National Provider Identifier) 1841304573. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Robert Glassley is physically located?
The Michael Robert Glassley is physically situated at the following address: 1612 Spring St, Fort Wayne, IN, 468083097.
What is the Michael Robert Glassley's area of specialization and corresponding taxonomy classification?
The Michael Robert Glassley's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Michael Robert Glassley receive its 1841304573 assignment from the Centers for Medicare & Medicaid Services?
The Michael Robert Glassley was assigned its 1841304573 by the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date were the Michael Robert Glassley's details last updated?
The information pertaining to the Michael Robert Glassley, including its address, specialty, and other details, was most recently updated on 2007-07-08.