Individual provider · Type 1 NPI

Glen W. Hisel, DDS

General Practice Dentistry · Clovis, NM

NPI number 1730242140 Active

Practice location

221 Fairway Ter N
Clovis, NM 88101-3064

Fax (505) 762-4142

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1748 (NM)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1730242140

Glen W. Hisel, DDS's National Provider Identifier is 1730242140, issued on Dec 18, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clovis, NM. The record was last updated on Jul 8, 2007.