Marie, Glenn J
Marie, Glenn J is an sole proprietor health care provider with primary practice located at 127 E Main St # 131 , Middletown NY 10940-5118. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Marie, Glenn J can be contacted via phone (845) 342-5866.Contact Information
Primary practice address
127 E Main St # 131
Middletown NY 10940-5118
Phone: (845) 342-5866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 22DI02780111 | New Jersey |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 040958 | New York |
Profile Details
| NPI number | 1588706758 |
|---|---|
| LBN Legal business name | Marie, Glenn J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jan 4th, 2023 - about last year |
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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