Glen C Mcintosh D.D.S., P.C. in Duluth - Oral And Maxillofacial Surgery

Glen C Mcintosh D.D.S., P.C. - NPI 1356528558

Glen C Mcintosh D.D.S., P.C. is a Oral And Maxillofacial Surgery in Duluth, Georgia. Glen C Mcintosh D.D.S., P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Glen C Mcintosh D.D.S., P.C. is 1356528558. The last update date is 2008-01-30.

Glen C Mcintosh D.D.S., P.C.'s current location address is 3400 Mcclure Bridge Road, Duluth, Georgia. You can contact this provider via phone number 7704768576 and fax number 7706239714. The mailing address for Glen C Mcintosh D.D.S., P.C. is 3400 Mcclure Bridge Road, Duluth, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Glen C Mcintosh D.D.S., P.C.
Address 3400 Mcclure Bridge Road, Duluth, Georgia
Phone Number 7704768576
Fax Number 7706239714
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mcintosh C Glen
Credentials D.D.S.
Telephone Number 7704768576

NPI Number Detail

NPI Number 1356528558
Provider Enumeration Date 2008-01-30
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 3400 Mcclure Bridge Road
City Duluth
State Georgia (GA)
Post Code 30096
Phone Number 7704768576
Fax Number 7706239714

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Glen C Mcintosh D.D.S., P.C.

What is the unique 10-digit identifier code assigned to Glen C Mcintosh D.D.S., P.C. by the Centers for Medicare & Medicaid Services?

The Glen C Mcintosh D.D.S., P.C. has been issued the NPI (National Provider Identifier) 1356528558 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Glen C Mcintosh D.D.S., P.C.'s facilities are situated?

The facilities of Glen C Mcintosh D.D.S., P.C. are physically located at the following address: 3400 Mcclure Bridge Road, Duluth, GA, 30096.

What is the Glen C Mcintosh D.D.S., P.C.'s specialty and taxonomy code?

The Glen C Mcintosh D.D.S., P.C.'s specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did the Glen C Mcintosh D.D.S., P.C. receive the assignment of its 1356528558 from the Centers for Medicare & Medicaid Services?

The Glen C Mcintosh D.D.S., P.C. was issued its 1356528558 by the Centers for Medicare & Medicaid Services on 2008-01-30.

When was the information pertaining to Glen C Mcintosh D.D.S., P.C. most recently updated or revised?

The details related to Glen C Mcintosh D.D.S., P.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-01-30.

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