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Contact Information

WALTER E GLENN, DDS
13 PARK AVENUE WEST
SUITE 517
MANSFIELD, OH44902
 Phone: 419-522-2523
 Fax: 419-522-2523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for WALTER E GLENN · (Male)

NPI # 1093746679
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 18506
  • OH Medicaid 0665034
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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