NPI 1639250673

Michael a Gladwell, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Salt Lake City, UT

Practice location

Address: 1250 E 3900 S STE 360, Salt Lake City, UT 84124-1362
Phone: (801) 262-7447

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 347697-1205 (UT)

Other Oral & Maxillofacial Surgery providers in Utah →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D12291 (MN)

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 347697-9924 (UT)

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 54113 (MN)

Registry record

NPI: 1639250673
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.