Provider Demographics
NPI:1922183144
Name:GLADDEN, WILLIAM ERIC (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ERIC
Last Name:GLADDEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10010 ABERCORN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4560
Mailing Address - Country:US
Mailing Address - Phone:912-925-8660
Mailing Address - Fax:912-925-8665
Practice Address - Street 1:10010 ABERCORN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4560
Practice Address - Country:US
Practice Address - Phone:912-925-8660
Practice Address - Fax:912-925-8665
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA125351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice