Branca, Glenn Andrew
Branca, Glenn Andrew is an sole proprietor health care provider with primary practice located at 104 Tremont St Suite 5, Duxbury MA 02332-4750. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Branca, Glenn Andrew can be contacted via phone (781) 934-8101.Contact Information
Primary practice address
104 Tremont St Suite 5
Duxbury MA 02332-4750
Phone: (781) 934-8101
Fax: (781) 934-8187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 21191 | Massachusetts |
Profile Details
| NPI number | 1588687388 |
|---|---|
| LBN Legal business name | Branca, Glenn Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Apr 19th, 2013 - 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 | 1588687388 | NPPES |
| Massachusetts | Other | X09281 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | AA36031 | BLUE CROSS BLUE SHIELD |
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