Glenos, William James

Glenos, William James is an individual health care provider with primary practice located at 22 Saint Johns Medical Pk Dr , St Augustine FL 32086-5299. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Glenos, William James can be contacted via phone (904) 797-6453.

Contact Information

Primary practice address
22 Saint Johns Medical Pk Dr St Augustine FL 32086-5299
Phone: (904) 797-6453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN8867 Florida

Profile Details

NPI number 1447267869
LBN Legal business name Glenos, William James
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 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 1447267869 NPPES
Florida MEDICAID 0722634

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