C. Fred Glazener, D.D.S., Inc
Organization Active NPI General Practice Dentistry · Ingleside, TX
NPI 1780753293 · NPPES record last updated Jan 9, 2014
Key facts
- NPI
- 1780753293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- C. FRED GLAZENER, D.D.S., INC
- Practice address
- 2681 State Highway 361
Ingleside, TX 78362-4200 - Phone
- (361) 776-3535
- Fax
- (866) 766-2629
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. C Fred Glazener, DDS
- Title
- Owner President
- Phone
- (361) 776-3535
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
2681 State Highway 361
Ingleside, TX 78362-4200
Mailing address
2681 State Highway 361
Ingleside, TX 78362-4200
Phone (361) 776-3535
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All providers in Ingleside, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.