Glen D Middaugh is a Terre Haute, Indiana based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Glen D Middaugh is 12010393 for Dentistry in Indiana. His current practice location is 2801 Anton Road, Terre Haute. Patients can reach him at 812-877-6724.
Glen D Middaugh is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Glen D Middaugh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Glen D Middaugh
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2801 Anton Road, Terre Haute, Indiana, 47803
Phone:
812-877-6724
Fax:
812-877-6150
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053316901
NPI Enumeration Date:
16 Jun, 2005
NPI Last Update On:
18 Nov, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glen D Middaugh are as mentioned below.
License Number
Specialization
State
Status
12010393
Dentistry
Indiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Glen D Middaugh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200415160A
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2801 Anton Road, Terre Haute, Indiana
Zip:
47803
Phone Number:
812-877-6724
Fax Number:
812-877-6150
Patients can reach Glen D Middaugh at 2801 Anton Road, Terre Haute, Indiana or can call to book an appointment on 812-877-6724. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.