Provider Demographics
NPI:1841457207
Name:GLASPER, HAZEL DENISE (DDS)
Entity type:Individual
Prefix:DR
First Name:HAZEL
Middle Name:DENISE
Last Name:GLASPER
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 1:2600 LONGSTONE LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1528
Mailing Address - Country:US
Mailing Address - Phone:410-992-8780
Mailing Address - Fax:410-992-8783
Practice Address - Street 1:2600 LONGSTONE LN
Practice Address - Street 2:SUITE 101
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1528
Practice Address - Country:US
Practice Address - Phone:410-992-8780
Practice Address - Fax:410-992-8783
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD110961223G0001X
MD110961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice