Head, Glenn Robert
Head, Glenn Robert is an sole proprietor health care provider with primary practice located at 6 Pointe Cir , Greenville SC 29615-3506. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Head, Glenn Robert can be contacted via phone (864) 233-1234.Contact Information
Primary practice address
6 Pointe Cir
Greenville SC 29615-3506
Phone: (864) 233-1234
Fax: (864) 298-8009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 2868 | South Carolina |
Profile Details
| NPI number | 1790771871 |
|---|---|
| LBN Legal business name | Head, Glenn Robert |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Oct 23rd, 2012 - about 13 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 | 1790771871 | NPPES |
| South Carolina | MEDICAID | ZA9481 |
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