Mcconville, Glynda
Mcconville, Glynda is an sole proprietor health care provider with primary practice located at 1129 Carthage St , Sanford NC 27330-4162. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Mcconville, Glynda can be contacted via phone (919) 718-9188.Contact Information
Primary practice address
1129 Carthage St
Sanford NC 27330-4162
Phone: (919) 718-9188
Fax: (919) 718-0900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 7021 | North Carolina |
Profile Details
| NPI number | 1083707475 |
|---|---|
| LBN Legal business name | Mcconville, Glynda |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083707475 | NPPES |
| North Carolina | MEDICAID | 5901535 |
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