Walter E Glenn Dds Inc

LBN: Walter E Glenn Dds Inc
Walter E Glenn Dds Inc is an health care organization with primary practice located at 13 Park Ave West Suite 517 Walter E Glenn Dds Inc, Mansfield OH 44902. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Walter E Glenn Dds Inc can be contacted via phone (419) 522-2523, or through Glenn, Walter E via phone (419) 522-2523.

Contact Information

Primary practice address
13 Park Ave West Suite 517 Walter E Glenn Dds Inc Mansfield OH 44902
Phone: (419) 522-2523
Fax: (419) 522-2523
Website:
Map and Directions
Authorized official contact:
Name: Glenn, Walter E Doctor of Dental Surgery (DDS)
Phone: (419) 522-2523

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 18506 Ohio

Profile Details

NPI number 1518134824
LBN Legal business name Walter E Glenn Dds Inc
DBA Doing business as
Authorized official Glenn, Walter E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518134824 NPPES
Ohio MEDICAID 0665034

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