Petty, Allison Glenn
Petty, Allison Glenn is an individual health care provider with primary practice located at 1816 Eagle Dr Ste 200-C , Woodstock GA 30189-8274. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Petty, Allison Glenn can be contacted via phone (732) 757-8055.Contact Information
Primary practice address
1816 Eagle Dr Ste 200-C
Woodstock GA 30189-8274
Phone: (732) 757-8055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 060552 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN23876 | Florida |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 22DI02820000 | New Jersey |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN122940 | Georgia |
Profile Details
| NPI number | 1710474416 |
|---|---|
| LBN Legal business name | Petty, Allison Glenn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2018 |
| Last updated | Aug 15th, 2023 - about 2 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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