Glen, Jeffrey David
Glen, Jeffrey David is an sole proprietor health care provider with primary practice located at 5224 Ridge Ave , Phila PA 19128-3712. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Glen, Jeffrey David can be contacted via phone (215) 483-7174.Contact Information
Primary practice address
5224 Ridge Ave
Phila PA 19128-3712
Phone: (215) 483-7174
Fax: (215) 483-6039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS025753L | Pennsylvania |
Profile Details
| NPI number | 1659595528 |
|---|---|
| LBN Legal business name | Glen, Jeffrey David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| 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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