Glen Conrad Hornbuckle in Okla City - Periodontics

Glen Conrad Hornbuckle - NPI 1487711081

Glen Conrad Hornbuckle is a Periodontics in Okla City, Oklahoma. Glen Conrad Hornbuckle practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Glen Conrad Hornbuckle is 1487711081. The last update date is 2007-07-08.

Glen Conrad Hornbuckle's current location address is 8203 S Walker Ave, Okla City, Oklahoma. You can contact this provider via phone number 4056361411 and fax number 4056361197. The mailing address for Glen Conrad Hornbuckle is 8203 S Walker Ave, Okla City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Glen Conrad Hornbuckle
Address 8203 S Walker Ave, Okla City, Oklahoma
Phone Number 4056361411
Fax Number 4056361197
Sole Proprietor N
Credentials DDS MS FAC

NPI Number Detail

NPI Number 1487711081
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8203 S Walker Ave
City Okla City
State Oklahoma (OK)
Post Code 731399451
Phone Number 4056361411
Fax Number 4056361197

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 3816
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Glen Conrad Hornbuckle

What is the Glen Conrad Hornbuckle's 1487711081?

The Glen Conrad Hornbuckle's NPI (National Provider Identifier) Number is 1487711081. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Glen Conrad Hornbuckle's facilities are geographically located?

The facilities of Glen Conrad Hornbuckle are physically situated at the following location: 8203 S Walker Ave, Okla City, OK, 731399451.

What is Glen Conrad Hornbuckle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Glen Conrad Hornbuckle is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487711081 to Glen Conrad Hornbuckle?

The Centers for Medicare & Medicaid Services assigned the 1487711081 to Glen Conrad Hornbuckle on 2007-01-02.

When was the Glen Conrad Hornbuckle's information last updated?

The Glen Conrad Hornbuckle's information was last updated on 2007-07-08.

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