person
Dr. Glenn Ian Maze, DDS
Periodontist in Augusta, Georgia
NPI 1740210855

Glenn Ian Maze is a Periodontist based in Augusta, GA and is specialized in Periodontics. Glenn Ian Maze practices in Augusta, GA and has the professional credentials of DDS. The NPI Number for Glenn Ian Maze is 1740210855 and holds a License No. DNF000332 (Georgia).

The current practice location address for Glenn Ian Maze is 1459 Laney Walker Blvd, Augusta, GA and can be reached out via phone at 706-721-0505 and via fax at 706-721-6778.

Location: 1459 Laney Walker Blvd, Augusta, GA, 30912-0002
person
Provider Profile Details
NPI Number
1740210855
Provider Name
Glenn Ian Maze
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1459 Laney Walker Blvd, Augusta, GA, 30912-0002
Phone Number
706-721-0505
Fax Number
706-721-6778
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZG0332 05 SC
institution
Provider Business Practice Location Address Details
Address
1459 Laney Walker Blvd
City
State
Zip
30912-0002
Phone Number
706-721-0505
Fax Number
706-721-6778
person
Provider Business Mailing Address Details
Address
1459 Laney Walker Blvd
City
State
Zip
30912-0002
Phone Number
706-721-0505
Fax Number
706-721-6778
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
DNF000332 (Georgia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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