Glass, Jr., Dudley Brewer
Glass, Jr., Dudley Brewer is an sole proprietor health care provider with primary practice located at 1002 Lexington Rd Ste. 20, Georgetown KY 40324-1463. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Glass, Jr., Dudley Brewer can be contacted via phone (502) 863-5442.Contact Information
Primary practice address
1002 Lexington Rd Ste. 20
Georgetown KY 40324-1463
Phone: (502) 863-5442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4494 | Kentucky |
Profile Details
| NPI number | 1619983863 |
|---|---|
| LBN Legal business name | Glass, Jr., Dudley Brewer |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619983863 | NPPES |
| Kentucky | Other | 4494 | STATE LICENSE NUMBER |
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