Park, Glenn

Park, Glenn is an sole proprietor health care provider with primary practice located at 7 Wells St Suite 205, Saratoga Springs NY 12866-1200. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Park, Glenn can be contacted via phone (518) 583-3205.

Contact Information

Primary practice address
7 Wells St Suite 205 Saratoga Springs NY 12866-1200
Phone: (518) 583-3205
Fax: (518) 583-3205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 052241 New York
Dental Providers / General Practice 1223G0001X 052241 New York

Profile Details

NPI number 1083613715
LBN Legal business name Park, Glenn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 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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