Edwards, Glenn Robert

Edwards, Glenn Robert is an individual health care provider with primary practice located at 10726 Manchester Rd Suite 215, Saint Louis MO 63122-1320. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edwards, Glenn Robert can be contacted via phone (314) 965-2950.

Contact Information

Primary practice address
10726 Manchester Rd Suite 215 Saint Louis MO 63122-1320
Phone: (314) 965-2950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 104261 Missouri

Profile Details

NPI number 1366430720
LBN Legal business name Edwards, Glenn Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 18 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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