Individual
DR. JENNIFER L GLASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16 WEINBERG ST, MANNING, SC 29102-2629
(803) 435-9555
Mailing address
601 MERRIFIELD CT, MT PLEASANT, SC 29466-9266
(352) 219-5876
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN16726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076011100
—
FL
Enumeration date
02/24/2006
Last updated
07/22/2009
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