IndividualActive
Glenn Glass, DMD
NPI 1972615433 · Orthodontics and Dentofacial Orthopedics Dentistry · Daphne, AL
Provider details
- NPI number
- 1972615433
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 5046 (AL)
Specialties & taxonomies
Dental Providers
Practice location
1303 Main Street
Daphne, AL 36526
Phone: (251) 626-7770
Fax: (251) 626-7464
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2465
Daphne, AL 36526
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.