Glenn Ian Maze is a Periodontics in Augusta, Georgia. Glenn Ian Maze practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Glenn Ian Maze is 1740210855. The last update date is 2007-07-09.
Glenn Ian Maze's current location address is 1459 Laney Walker Blvd, Augusta, Georgia. You can contact this provider via phone number 7067210505 and fax number 7067216778. The mailing address for Glenn Ian Maze is 1459 Laney Walker Blvd, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Ian Maze |
|---|---|
| Address | 1459 Laney Walker Blvd, Augusta, Georgia |
| Phone Number | 7067210505 |
| Fax Number | 7067216778 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740210855 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1459 Laney Walker Blvd |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309120002 |
| Phone Number | 7067210505 |
| Fax Number | 7067216778 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DNF000332 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZG0332 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Glenn Ian Maze by the Centers for Medicare & Medicaid Services?
The Glenn Ian Maze has been issued the NPI (National Provider Identifier) 1740210855. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Glenn Ian Maze's physical address?
The Glenn Ian Maze is physically located at 1459 Laney Walker Blvd, in the city of Augusta, GA, with the postal code 309120002.
What is Glenn Ian Maze's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenn Ian Maze is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Glenn Ian Maze receive the assignment of its 1740210855 from the Centers for Medicare & Medicaid Services?
The Glenn Ian Maze was issued its 1740210855 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date was the information regarding Glenn Ian Maze, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glenn Ian Maze, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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