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Gregory Glade, DMD
NPI 1548367600 · on the registry since 2006
Practice
- Address
- 308 11th Street North
Port Byron, IL 61275 - Phone
- (309) 523-3325
- Fax
- (309) 523-9078
- Organisation at this address
- Gregory L Glade Dmd Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
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 Illinois