Dr. Paul L Glick
Periodontist
23264 Two Rivers Rd
Basalt
, Colorado 81621-9251
Dr. Paul L Glick
Periodontist
23264 Two Rivers Rd
Basalt
, Colorado 81621-9251
(303) 880-8649
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Paul L Glick
- 3366 S Tulare Ct
- Denver, CO
- Zip : 80231-4368
- Phone : (303) 880-8649
Second Address
- Dr. Paul L Glick
- 23264 Two Rivers Rd
- Basalt, CO
- Zip : 81621-9251
- Phone : (970) 927-3776
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 105211 | CO |
National Provider Identifier
| NPI | 1013985910 |
|---|---|
| Provider Name | Dr. Paul L Glick |
| First Address | Denver, CO 80231-4368 |
| Second Address | Basalt, CO 81621-9251 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 19/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.