Individual
JEFFREY W GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 S MARKET ST, GALION, OH 44833-2626
(419) 468-1100
Mailing address
112 S MARKET ST, GALION, OH 44833-2626
(419) 468-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-01-8095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0616695
—
OH
Enumeration date
12/13/2006
Last updated
09/21/2007
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