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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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