GLEN CONRAD HORNBUCKLE


Address: 8203 S Walker Ave, Okla City, OK 73139-9451
Phone: 4056361411

GLEN CONRAD HORNBUCKLE (NPI# 1487711081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487711081
Entity Type Individual
Full Name GLEN CONRAD HORNBUCKLE
Credential DDS MS FACD
Practice Address 8203 S Walker Ave
Okla City
OK 73139-9451
Practice Telephone 4056361411
Practice Fax Number 4056361197
Mailing Telephone 4056361411
Mailing Fax Number 4056361197
Enumeration Date 2007-01-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
3816 OK Dental Providers

Office Location

Street Address 8203 S WALKER AVE
City OKLA CITY
State OK
Zip Code 73139-9451

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447899778 First Med Primary Care LLC Clinic/Center 1142 Sw 104th St, Oklahoma City, OK 73139 2020-01-03
1205305737 Transit Medical Team LLC In Home Supportive Care 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 2018-11-14
1336621770 Mayra Edith Solis Case Manager/Care Coordinator 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 2018-09-01
1619470184 Linzi L Stewart, D.o., P.l.l.c. Obstetrics & Gynecology 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 2018-03-12
1467970467 Oklahoma Healthcare Transitions Inc Home Health 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 2017-08-30
1841714169 Gentry Kyler Jones Case Manager/Care Coordinator 301 W I240 Service Rd, Oklahoma City, OK 73139 2017-07-28
1437688082 Jasmine Small Case Manager/Care Coordinator 6100 S Walker, Okc, OK 73139 2017-06-07
1689029266 Swalk Operations, LLC Skilled Nursing Facility 315 Sw 80th Street, Oklahoma City, OK 73139 2016-05-02
1225491343 Elizabeth Pratt Counselor 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 2016-04-05
1326418542 Brittany Elis Walley Case Manager/Care Coordinator 8015 S Klein Ave, Oklahoma City, OK 73139 2015-09-30
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063021343 Xixi Wu Dentist 1201 N Stonewall Ave # 524d, Oklahoma City, OK 73117-1214 2020-07-23
1699395343 Dental Specialists of Edmond Dentist 16430 Muirfield Pl, Edmond, OK 73013 2020-04-23
1851713747 Maria Fernanda Santos Peres Dentist 1201 N Stonewall Ave Rm 542, Oklahoma City, OK 73117-1214 2014-01-10
1609142827 Board of Regents of Ok - Col of Dentistry Grad Perodontics Dentist 1201 N Stonewall Ave Rm Dcs253, Oklahoma City, OK 73117-1214 2012-04-02
1669614137 Ryan James Lanman Dentist 3621 Nw 63rd St Ste I, Oklahoma City, OK 73116-2041 2009-03-30
1225252919 Eric Jankowski Dentist 504 Forest Ridge Dr, Tahlequah, OK 74464-4191 2007-04-12
1770627044 Robin D Henderson Dentist 9112 N. May Ave, Okla. City, OK 73120 2007-02-19
1538235775 Ray Anand Beddoe Dentist 2619 S Elm Pl, Suite A, Broken Arrow, OK 74012-7878 2006-11-28
1144232455 Edwin E Sutherland II Dentist 1605 S Sangre Rd, Stillwater, OK 74074-1847 2006-08-13
1326054156 Vaught, Burchard & Assoc. Inc Dentist 2902 S Pittsburg Ave, Tulsa, OK 74114-6133 2006-08-01
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Competitor

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City OKLA CITY
Zip Code 73139

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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