Provider Demographics
NPI:1386745685
Name:GLANCY, JAMES FORREST (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FORREST
Last Name:GLANCY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9209 SOUTH COLIMA RD
Mailing Address - Street 2:#2100
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1816
Mailing Address - Country:US
Mailing Address - Phone:562-696-3210
Mailing Address - Fax:562-698-0310
Practice Address - Street 1:9209 SOUTH COLIMA RD
Practice Address - Street 2:#2100
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1816
Practice Address - Country:US
Practice Address - Phone:562-696-3210
Practice Address - Fax:562-698-0310
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADZ035497122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist