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Contact Information

BENJAMIN H GLICK, DMD
US HIGHWAY 191 HOSPITAL ROAD
CHINLE, AZ86503
 Phone: 928-674-7156
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for BENJAMIN H GLICK · (Male)

NPI # 1063431237
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/19/2006
Last updated 04/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 4281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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