Individual
DR. GLENN WILLIAM FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4053 TAYLOR RD SUITE M, CHESAPEAKE, VA 23321-5526
(757) 484-9441
(757) 484-8821
Mailing address
4053 TAYLOR RD SUITE M, CHESAPEAKE, VA 23321-5526
(757) 484-9441
(757) 484-8821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004845
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25239
OPTIMA
VA
01
—
260227
ANTHEM BCBS
VA
01
—
52237
SENTARA
VA
01
—
873455
UNITED CONCORDIA
VA
Enumeration date
09/05/2006
Last updated
07/08/2007
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