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Contact Information

MICHAEL A GLADWELL, D.M.D., MD
1250 E 3900 S STE 360
SALT LAKE CITY, UT84124-1362
 Phone: 801-262-7447
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL A GLADWELL · (Male)

NPI # 1639250673
Status Active
Credentials D.M.D., MD
Entity Individual
Enumeration date 10/18/2006
Last updated 11/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 54113
  • MN License # D12291
  • UT License # 347697-1205
  • UT License # 347697-9924
  • MN Medicaid 935190000
  • MN Medicaid ENROLLED
  • WI Medicaid 33828100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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