Brown, Glenn Arthur

Brown, Glenn Arthur is an individual health care provider with primary practice located at 6776 Market St , Upper Darby PA 19082. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Brown, Glenn Arthur can be contacted via phone (610) 734-0115.

Contact Information

Primary practice address
6776 Market St Upper Darby PA 19082
Fax: (610) 734-0666
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS023270L Pennsylvania

Profile Details

NPI number 1679586861
LBN Legal business name Brown, Glenn Arthur
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679586861 NPPES
Pennsylvania MEDICAID 0008895840001

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