Glennon,Jr, James Arthur

Glennon,Jr, James Arthur is an individual health care provider with primary practice located at 5132 Sheridan Dr , Williamsville NY 14221-4623. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Glennon,Jr, James Arthur can be contacted via phone (716) 634-8886.

Contact Information

Primary practice address
5132 Sheridan Dr Williamsville NY 14221-4623
Fax: (716) 634-8887
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 040936 New York

Profile Details

NPI number 1427022599
LBN Legal business name Glennon,Jr, James Arthur
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1427022599 NPPES
New York MEDICAID 01078335

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