Dean, Glen Royden

Dean, Glen Royden is an individual health care provider with primary practice located at 2552 F Rd , Grand Junction CO 81505-1422. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Dean, Glen Royden can be contacted via phone (970) 241-1313.

Contact Information

Primary practice address
2552 F Rd Grand Junction CO 81505-1422
Phone: (970) 241-1313
Fax: (970) 241-5202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 104423 Colorado
Dental Providers / Pediatric Dentistry 1223P0221X 1356539922 Utah

Profile Details

NPI number 1275696114
LBN Legal business name Dean, Glen Royden
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275696114 NPPES
Colorado MEDICAID 02044238

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