Glass, Kenneth
Glass, Kenneth is an individual health care provider with primary practice located at 680 Gail Gardner Way , Prescott AZ 86305. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Glass, Kenneth can be contacted via phone (928) 445-9233.Contact Information
Primary practice address
680 Gail Gardner Way
Prescott AZ 86305
Phone: (928) 445-9233
Fax: (928) 445-1758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6682 | Arizona |
Profile Details
| NPI number | 1457543613 |
|---|---|
| LBN Legal business name | Glass, Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | May 1st, 2023 - about last year |
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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