Glenn Paulk, DDD, MS

NPI 1437209095 · on the registry since 2007 · sole proprietor

Practice

Address: 430 N Mills Ave
Orlando, FL 32803
Phone: (407) 843-8180
Fax: (407) 843-8924
Organisation at this address: Frontier Therapy Llc.
John E. Russo, D.M.D, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 1223E0200X
1223E0200X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida