Individual
DR. GLENN ARTIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
433 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 256-3777
(304) 256-3779
Mailing address
433 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 256-3777
(304) 256-3779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04010006256
VA
122300000X
Dentist
3691
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
123
WV
Other
Enumeration date
07/13/2006
Last updated
04/10/2009
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