Dr. Jason P Glassley, D.D.S., M.S.D.
Dentist, Endodontics in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1679735898
StatusActive
Last updated in NPPESJun 29, 2008
Details
- NPI
- 1679735898
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason P Glassley
- Credential
- D.D.S., M.S.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2008
- Last updated
- Jun 29, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 12010736A | IN | Yes |
Practice location
5718 Coventry LnFort Wayne, IN 46804-7141
Phone 260-436-5772 · Fax 260-436-5779
Mailing address
1801 Galapagos CtFort Wayne, IN 46814-8872
Phone 260-436-5772 · Fax 260-436-5779
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- Robert Todd Mabry, DDSNPI 1407933427
- Thomas G Oldag, DDS, MSDNPI 1942354055
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All 12 Endodontics providers in Fort Wayne · All 11,302 providers in Fort Wayne
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