Provider Demographics
NPI:1508985870
Name:GLEATON, RICHARD CURTIS (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:CURTIS
Last Name:GLEATON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 N FIELDER RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4636
Mailing Address - Country:US
Mailing Address - Phone:817-461-5455
Mailing Address - Fax:817-460-2409
Practice Address - Street 1:719 N FIELDER RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4636
Practice Address - Country:US
Practice Address - Phone:817-461-5455
Practice Address - Fax:817-460-2409
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice