Organization
E. GLENN GLASSMAN, D.D.S. PC DBA ORTHOCARE SYSTEMS
Active
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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