Glenn, Roger Dale
Glenn, Roger Dale is an individual health care provider with primary practice located at 128 Chaffee Rd. , Fort Bliss TX 79906-3811. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Glenn, Roger Dale can be contacted via phone (915) 568-5001.Contact Information
Primary practice address
128 Chaffee Rd.
Fort Bliss TX 79906-3811
Phone: (915) 568-5001
Fax: (915) 568-5174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17335 | Texas |
Profile Details
| NPI number | 1053396010 |
|---|---|
| LBN Legal business name | Glenn, Roger Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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