Gregory, Glenn Anthony
Gregory, Glenn Anthony is an individual health care provider with primary practice located at 69 Allen St Suite 10, Rutland VT 05701-4564. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gregory, Glenn Anthony can be contacted via phone (802) 774-5050.Contact Information
Primary practice address
69 Allen St Suite 10
Rutland VT 05701-4564
Phone: (802) 774-5050
Fax: (802) 774-5042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 016.0090235 | Vermont |
Profile Details
| NPI number | 1831449412 |
|---|---|
| LBN Legal business name | Gregory, Glenn Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2012 |
| Last updated | Aug 5th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831449412 | NPPES |
| Vermont | MEDICAID | 1021108 |
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