Whalio Doctors

NPI 1821544438

Linda Ann Glick, CDAEFDA

Practitioner Dental Assistant Fort Leonard Wood, MO

Practice location

Address
5047 Virginia Ave., Fort Leonard Wood, MO 65473-1317
Phone
(573) 596-0408
Fax
(573) 596-0314
Mailing address
5047 Virginia Ave. Harper Dental Clinic Bld 500, Fort Leonard Wood, MO 65473-1317

Registered specialties (3)

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence 2013015015 (MO)
Dental Assistant
Dental Providers Taxonomy 126800000X Licence 2013015016 (MO)
Dental Assistant
Dental Providers Taxonomy 126800000X Licence 2013015017 (MO)

Registry record

NPI
1821544438
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Sep 2016
Record last updated
1 Sep 2016

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.