| Glenn H Glass Dmd Ms Pc | |
|
1303 Main St Daphne AL 36526-4422 | |
| (251) 626-7770 | |
| (251) 626-7464 |
| Full Name | Glenn H Glass Dmd Ms Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1303 Main St, Daphne, Alabama |
| Authorized Official Name and Position | Glenn H Glass (OWNER) |
| Authorized Official Contact | 2516267770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn H Glass Dmd Ms Pc Po Box 2465 Daphne AL 36526-2465 Ph: (251) 626-7770 | Glenn H Glass Dmd Ms Pc 1303 Main St Daphne AL 36526-4422 Ph: (251) 626-7770 |
| NPI Number | 1649543190 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649543190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5046 (Alabama) | Primary |
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