Provider Demographics
NPI:1588623649
Name:GLASCOE, ALISON (DDS)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:GLASCOE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 MITCHELLVILLE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1389
Mailing Address - Country:US
Mailing Address - Phone:301-218-8810
Mailing Address - Fax:301-218-8421
Practice Address - Street 1:3060 MITCHELLVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1389
Practice Address - Country:US
Practice Address - Phone:301-218-8810
Practice Address - Fax:301-218-8421
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-18
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116201223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics