Hyde, Glen A

Hyde, Glen A is an individual health care provider with primary practice located at 186 Hospital Rd Suite 600, Winchester TN 37398-2472. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hyde, Glen A can be contacted via phone (931) 967-6112.

Contact Information

Primary practice address
186 Hospital Rd Suite 600 Winchester TN 37398-2472
Phone: (931) 967-6112
Fax: (931) 967-0462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3404 Tennessee

Profile Details

NPI number 1700885621
LBN Legal business name Hyde, Glen A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 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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