Individual
DR. JEFFREY ALAN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1665 CALIFORNIA AVE, CINCINNATI, OH 45237-5603
(513) 242-1999
(513) 242-6364
Mailing address
1665 CALIFORNIA AVE, CINCINNATI, OH 45237-5603
(513) 242-1999
(513) 242-6364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0943546
—
OH
Enumeration date
03/13/2007
Last updated
07/09/2007
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