Glenn Ray Malchow in Bowling Green - Orthodontics And Dentofacial Orthopedics
Glenn Ray Malchow - NPI 1174653414
Glenn Ray Malchow is a Orthodontics And Dentofacial Orthopedics in Bowling Green, Kentucky. Glenn Ray Malchow practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Glenn Ray Malchow is 1174653414. The last update date is 2007-07-08.
Glenn Ray Malchow's current location address is 895 Wilkinson Trace, Bowling Green, Kentucky. You can contact this provider via phone number 2707811025 and fax number 2707818707. The mailing address for Glenn Ray Malchow is 895 Wilkinson Trace, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Ray Malchow |
|---|---|
| Address | 895 Wilkinson Trace, Bowling Green, Kentucky |
| Phone Number | 2707811025 |
| Fax Number | 2707818707 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1174653414 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 895 Wilkinson Trace |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 42103 |
| Phone Number | 2707811025 |
| Fax Number | 2707818707 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4133 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identification code assigned to Glenn Ray Malchow by the Centers for Medicare & Medicaid Services?
The Glenn Ray Malchow has been issued the NPI (National Provider Identifier) 1174653414, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Glenn Ray Malchow located?
The Glenn Ray Malchow is located at 895 Wilkinson Trace, Bowling Green, KY 42103.
What is the area of specialization for Glenn Ray Malchow, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glenn Ray Malchow is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Glenn Ray Malchow receive the assignment of its 1174653414 from the Centers for Medicare & Medicaid Services?
The Glenn Ray Malchow was issued its 1174653414 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information pertaining to Glenn Ray Malchow most recently updated or revised?
The details related to Glenn Ray Malchow, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.