Provider Demographics
NPI:1396806899
Name:GLASGOW, BOYD B (DMD)
Entity type:Individual
Prefix:
First Name:BOYD
Middle Name:B
Last Name:GLASGOW
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOOKS LN
Mailing Address - Street 2:SUITE 212
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1617
Mailing Address - Country:US
Mailing Address - Phone:410-653-2622
Mailing Address - Fax:410-653-6448
Practice Address - Street 1:25 HOOKS LN
Practice Address - Street 2:SUITE 212
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1617
Practice Address - Country:US
Practice Address - Phone:410-653-2622
Practice Address - Fax:410-653-6448
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD152981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice