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Dr. Marcellus Gladney, DMD
Pediatric Dentist in Grants, New Mexico
NPI 1659362333

Marcellus Gladney is a Pediatric Dentist based in Grants, NM and is specialized in Pediatric Dentistry. Marcellus Gladney practices in Grants, NM and has the professional credentials of DMD. The NPI Number for Marcellus Gladney is 1659362333 and holds a License No. DD1966 (New Mexico).

The current practice location address for Marcellus Gladney is 1209 Bonita St, Grants, NM and can be reached out via phone at 505-876-4034 and via fax at 505-876-4036. You can also correspond with Marcellus Gladney through the mailing address at 1905 BLUE SPRUCE DR, GRANTS, NM - 87020-4213 (mailing address contact number: 505-876-1065).

Location: 1209 Bonita St, Grants, NM, 87020-4213
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Provider Profile Details
NPI Number
1659362333
Provider Name
Marcellus Gladney
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1209 Bonita St, Grants, NM, 87020-4213
Phone Number
505-876-4034
Fax Number
505-876-4036
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z9089 05 NM
8615 05 NM
institution
Provider Business Practice Location Address Details
Address
1209 Bonita St
City
State
Zip
87020-2103
Phone Number
505-876-4034
Fax Number
505-876-4036
person
Provider Business Mailing Address Details
Address
1209 Bonita St
City
State
Zip
87020-2103
Phone Number
505-876-4034
Fax Number
505-876-4036
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DD1966 (New Mexico)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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