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Contact Information

BRANDON N GLENN, DDS
2854 W 4700 S
SUITE B
TAYLORSVILLE, UT84129-2102
 Phone: 801-432-7773
 Fax: 801-679-1958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRANDON N GLENN · (Male)

NPI # 1598104853
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/20/2013
Last updated 11/10/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 30.023962
  • UT License # 10067031-9922
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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