Hornbuckle, Glen Conrad

Hornbuckle, Glen Conrad is an individual health care provider with primary practice located at 8203 S Walker Ave , Okla City OK 73139-9451. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Hornbuckle, Glen Conrad can be contacted via phone (405) 636-1411.

Contact Information

Primary practice address
8203 S Walker Ave Okla City OK 73139-9451
Fax: (405) 636-1197
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3816 Oklahoma

Profile Details

NPI number 1487711081
LBN Legal business name Hornbuckle, Glen Conrad
Credentials DDS MS FACD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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