Edwards, Glenn Robert
Edwards, Glenn Robert is an individual health care provider with primary practice located at 10726 Manchester Rd Suite 215, Saint Louis MO 63122-1320. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edwards, Glenn Robert can be contacted via phone (314) 965-2950.Contact Information
Primary practice address
10726 Manchester Rd Suite 215
Saint Louis MO 63122-1320
Phone: (314) 965-2950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 104261 | Missouri |
Profile Details
| NPI number | 1366430720 |
|---|---|
| LBN Legal business name | Edwards, Glenn Robert |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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