Organization
E. GLENN GLASSMAN, D.D.S. PC DBA ORTHOCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT GLENN GLASSMAN DDS (OWNER)
(636) 757-0770
Entity
Organization
Contact information
Practice address
15925 MANCHESTER RD, ELLISVILLE, MO 63011-2101
(636) 394-3660
(636) 394-3519
Mailing address
709 S 5TH ST, SAINT CHARLES, MO 63301-2913
(636) 757-0770
(636) 757-0773
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013277
MO
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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