Provider Demographics
NPI:1023160751
Name:MCGLASHAN, WILLIAM (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:MCGLASHAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 PARK AVE N
Mailing Address - Street 2:SUITE D
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5560
Mailing Address - Country:US
Mailing Address - Phone:425-793-6003
Mailing Address - Fax:
Practice Address - Street 1:1512 GRAND AVE
Practice Address - Street 2:102
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3861
Practice Address - Country:US
Practice Address - Phone:970-947-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60384494122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist