Edens, Glenn R.

Edens, Glenn R. is an individual health care provider with primary practice located at 104 Franklin Square Way , Easley SC 29642-3715. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edens, Glenn R. can be contacted via phone (864) 859-7288.

Contact Information

Primary practice address
104 Franklin Square Way Easley SC 29642-3715
Phone: (864) 859-7288
Fax: (864) 859-8100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-3104 South Carolina

Profile Details

NPI number 1598881211
LBN Legal business name Edens, Glenn R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
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 1598881211 NPPES
South Carolina Other 61906 UNITED CONCORDIA

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