Individual provider · Type 1 NPI
David Mitchell Glass, DDS
Pediatric Dentistry · Texarkana, TX
NPI number
1053545665
Active
Practice location
5301 Cowhorn Creek Road
Texarkana, TX 75503
Mailing address
821 Ontario St
Shreveport, LA 71106-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 26442 (TX) |
| Pediatric Dentistry | 1223P0221X | 3732 (AR) |
Pediatric Dentistry: 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.
Another provider at this address
About NPI 1053545665
David Mitchell Glass, DDS's National Provider Identifier is 1053545665, issued on May 11, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Texarkana, TX. The record was last updated on Jun 13, 2011.