Glyman, Mark L
Glyman, Mark L is an individual health care provider with primary practice located at 2030 E Flamingo Rd 288, Las Vegas NV 89119-0818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Glyman, Mark L can be contacted via phone (702) 892-0833.Contact Information
Primary practice address
2030 E Flamingo Rd 288
Las Vegas NV 89119-0818
Phone: (702) 892-0833
Fax: (702) 892-0906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 6502 | Nevada |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6502 | Nevada |
Profile Details
| NPI number | 1518059617 |
|---|---|
| LBN Legal business name | Glyman, Mark L |
| Credentials | M.D.,D.D.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 23rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518059617 | NPPES |
| Nevada | MEDICAID | 20-19211 |
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