NPI
Gregory L Glade DMD PC
Phone (309) 523-3325 · Fax (309) 523-9078 · NPI 1609965763
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-12
- Last updated
- 2020-08-22
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Specialties
Licenses
- License IL
- 019016751
Location
- Practice location
- 308 11th St North
- City
- Port Byron IL
- Postal code
- 61275-9038
- Phone
- (309) 523-3325
- Fax
- (309) 523-9078
Organization contact
- Name
- Bernadette Glade
- Title
- Secretary of PC Office Manager
- Phone
- (309) 523-3325
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Port Byron, IL. 21 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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