Canares, Glenn
Canares, Glenn is an individual health care provider with primary practice located at 650 W Baltimore St , Baltimore MD 21201. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Pediatric Dentistry is his primary health care specialty. Canares, Glenn can be contacted via phone (410) 706-7970.Contact Information
Primary practice address
650 W Baltimore St
Baltimore MD 21201
Phone: (410) 706-7970
Fax: (410) 706-4031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DEN03190 | Rhode Island |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | 15526 | Maryland |
Profile Details
| NPI number | 1174814537 |
|---|---|
| LBN Legal business name | Canares, Glenn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2011 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1174814537 | NPPES |
| Maryland | MEDICAID | 081066500 |
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