DR. Michael Robert Glassley, D.D.S.

NPI #1841304573 in Fort Wayne, Indiana

Provider Information

NPI Number: 1841304573
Entity Type: Individual
Name: DR. Michael Robert Glassley, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1612 SPRING ST
City: Fort Wayne
State: Indiana
ZIP Code: 46808-3097
Phone: (260) 426-3068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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