Glen D Houston in Edmond - Oral And Maxillofacial Pathology

Glen D Houston - NPI 1508835414

Glen D Houston is a Oral And Maxillofacial Pathology in Edmond, Oklahoma. Glen D Houston practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Glen D Houston is 1508835414. The last update date is 2021-12-09.

Glen D Houston's current location address is 2701 Coltrane Pl Ste 3, Edmond, Oklahoma. You can contact this provider via phone number 4057154500. The mailing address for Glen D Houston is 2701 Coltrane Pl Ste 3, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Glen D Houston
Address 2701 Coltrane Pl Ste 3, Edmond, Oklahoma
Phone Number 4057154500
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1508835414
Provider Enumeration Date 2006-03-14
Last Updated Date 2021-12-09

Provider Mailing Address Detail

Address 2701 Coltrane Pl Ste 3
City Edmond
State Oklahoma (OK)
Post Code 730346783
Phone Number 4057154500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 3753
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
800522089 OK GROUP MEDICARE

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FAQs about Glen D Houston

What is the Glen D Houston's 1508835414?

The Glen D Houston's NPI (National Provider Identifier) Number is 1508835414. 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 D Houston's facilities are geographically located?

The facilities of Glen D Houston are physically situated at the following location: 2701 Coltrane Pl Ste 3, Edmond, OK, 730346783.

What is the area of specialization for Glen D Houston, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Glen D Houston is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0106X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508835414 to Glen D Houston?

The Centers for Medicare & Medicaid Services originally issued the 1508835414 to Glen D Houston on 2006-03-14.

When was the Glen D Houston's information last updated?

The Glen D Houston's information was last updated on 2021-12-09.

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