Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glen Conrad Hornbuckle, DDSMSFACD

Individual provider Periodontics · NPI 1487711081

Glen Conrad Hornbuckle, DDSMSFACD is a Periodontics in Okla City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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Practice location Address checks out

8203 S Walker Ave
Okla City, OK 73139-9451
Phone: (405) 636-1411
Fax: (405) 636-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3816 (OK)

Record details

NPI number1487711081
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMSFACD
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

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