Mcintosh, Glen C

Mcintosh, Glen C is an individual health care provider with primary practice located at 3400 Mcclure Bridge Rd Building G, Suite B, Duluth GA 30096-6675. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Mcintosh, Glen C can be contacted via phone (770) 476-8576.

Contact Information

Primary practice address
3400 Mcclure Bridge Rd Building G, Suite B Duluth GA 30096-6675
Phone: (770) 476-8576
Fax: (770) 623-9714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DN009756 Georgia

Profile Details

NPI number 1285793372
LBN Legal business name Mcintosh, Glen C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 9th, 2007 - about 18 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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