Gordon, Glen

Gordon, Glen is an individual health care provider with primary practice located at 1 Hampton Rd , Exeter NH 03833-4848. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gordon, Glen can be contacted via phone (603) 772-7874.

Contact Information

Primary practice address
1 Hampton Rd Exeter NH 03833-4848
Phone: (603) 772-7874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2083 New Hampshire

Profile Details

NPI number 1992885206
LBN Legal business name Gordon, Glen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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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