Glass, Paul Bernard

Glass, Paul Bernard is an sole proprietor health care provider with primary practice located at 2004 Edison Rd Ste B , South Bend IN 46617-1712. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Glass, Paul Bernard can be contacted via phone (574) 234-0900.

Contact Information

Primary practice address
2004 Edison Rd Ste B South Bend IN 46617-1712
Fax: (574) 234-7553
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009864A Indiana

Profile Details

NPI number 1396756532
LBN Legal business name Glass, Paul Bernard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 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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