# GLENN S. PARRY, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639375975
- **Authorized official:** DR. GLENN S. PARRY D.M.D. (PRESIDENT)
- **Authorized official phone:** (307) 875-7770

## Contact information

- **Practice address:** 220 SHOSHONE AVE, GREEN RIVER, WY 82935-5468
- **Practice address phone:** (307) 875-7770
- **Mailing address:** PO BOX 1002, GREEN RIVER, WY 82935-1002
- **Mailing address phone:** (307) 875-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 670 | WY | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 09/24/2015