Healthcare Provider Details

I. General information

NPI: 1124242730
Provider Name (Legal Business Name): GREGORY STUART MCGLONE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 JONATHAN FRANCIS SR RD
SAINT HELENA ISLAND SC
29920-5310
US

IV. Provider business mailing address

721 OKATIE HWY
OKATIE SC
29909-3963
US

V. Phone/Fax

Practice location:
  • Phone: 843-838-2086
  • Fax:
Mailing address:
  • Phone: 843-987-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN00202540
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11307
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: