DR. Glen S Padgett, D.D.S.

NPI #1871653105 in Donaldsonville, Louisiana

Provider Information

NPI Number: 1871653105
Entity Type: Individual
Name: DR. Glen S Padgett, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 201 LESSARD ST
City: Donaldsonville
State: Louisiana
ZIP Code: 70346-2507
Phone: (225) 473-8456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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