DR. JOHN CHARLES GLUECKERT DDS NPI 1417082280

NPI Information

DR. John Charles Glueckert, DDS is a general practice dentist in South Bend, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. John Charles Glueckert, DDS NPI is 1417082280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3121 MISHAWAKA AVE
SOUTH BEND, IN
ZIP 46615-349
Phone: (574) 288-9411

The NPI 1417082280 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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