Gavin, Glenn R

Gavin, Glenn R is an individual health care provider with primary practice located at 586 Duane St Ste 101 , Glen Ellyn IL 60137-4639. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gavin, Glenn R can be contacted via phone (630) 545-0151.

Contact Information

Primary practice address
586 Duane St Ste 101 Glen Ellyn IL 60137-4639
Phone: (630) 545-0151
Fax: (630) 545-9155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1831202712
LBN Legal business name Gavin, Glenn R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - about 18 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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