Richard J. Glow in Omaha - Oral And Maxillofacial Surgery
Richard J. Glow - NPI 1114979713
Richard J. Glow is a Oral And Maxillofacial Surgery in Omaha, Nebraska. Richard J. Glow practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Richard J. Glow is 1114979713. The last update date is 2008-01-31.
Richard J. Glow's current location address is 14625 California St, Omaha, Nebraska. You can contact this provider via phone number 4023977777 and fax number 4023909336. The mailing address for Richard J. Glow is 14625 California St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard J. Glow |
|---|---|
| Address | 14625 California St, Omaha, Nebraska |
| Phone Number | 4023977777 |
| Fax Number | 4023909336 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114979713 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 14625 California St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681541950 |
| Phone Number | 4023977777 |
| Fax Number | 4023909336 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6279 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5743 | NE | BCBS OF NE | |
| 10025375700 | NE | -- | |
| P0036733 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Richard J. Glow's unique identification number?
The Richard J. Glow has been assigned the NPI (National Provider Identifier) Number 1114979713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Richard J. Glow is geographically located?
The Richard J. Glow is physically situated at the following location: 14625 California St, Omaha, NE, 681541950.
What is Richard J. Glow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard J. Glow is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
When did the Richard J. Glow receive its 1114979713?
The Richard J. Glow was issued its 1114979713 on 2006-05-16, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Richard J. Glow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard J. Glow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-31.
NPI Number: 1104826072
Address: 16581 Brookhurst St, Fountain Valley, CA