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
Phone: (405) 636-1411
Fax: (405) 636-1197
Website:
Health care specialties
| Specialty | Code | License # | 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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