Harter, Dominique Glennon

Harter, Dominique Glennon is an individual health care provider with primary practice located at 2857 Independence St , Cape Girardeau MO 63703-5015. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Harter, Dominique Glennon can be contacted via phone (573) 335-4646.

Contact Information

Primary practice address
2857 Independence St Cape Girardeau MO 63703-5015
Phone: (573) 335-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2012015480 Missouri

Profile Details

NPI number 1003177601
LBN Legal business name Harter, Dominique Glennon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Jul 2nd, 2014 - about 12 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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