IndividualActive
Marcellus Gladney, D.M.D.
NPI 1659362333 · Pediatric Dentistry · Grants, NM
Provider details
- NPI number
- 1659362333
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DD1966 (NM)
Specialties & taxonomies
Dental Providers
Practice location
1209 Bonita St
Grants, NM 87020-2103
Phone: (505) 876-4034
Fax: (505) 876-4036
Approximate (ZIP-level) locationGet directions
Mailing address
1905 Blue Spruce Dr
Grants, NM 87020-4213
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.