Glenwood Dental Association, Llp | |
17 West Glenwood Avenue Smyma DE 19977 | |
(302) 653-5011 | |
(302) 653-8839 |
Full Name | Glenwood Dental Association, Llp |
---|---|
Speciality | Dentist |
Location | 17 West Glenwood Avenue, Smyma, Delaware |
Authorized Official Name and Position | Tina M Shane (BILLING/INSURANCE) |
Authorized Official Contact | 3026535011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glenwood Dental Association, Llp 17 West Glenwood Avenue Smyma DE 19977 Ph: (302) 653-5011 | Glenwood Dental Association, Llp 17 West Glenwood Avenue Smyma DE 19977 Ph: (302) 653-5011 |
NPI Number | 1487664314 |
---|---|
Provider Enumeration Date | 08/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487664314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | GI-0000761 (Delaware) | Secondary |
122300000X | Dentist | GI-0001103 (Delaware) | Primary |