Individual
DR. ROBERT WEAVER GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
7001 A ST, SUITE 105, LINCOLN, NE 68510-4299
(402) 488-5275
(402) 483-5200
Mailing address
7001 A ST, SUITE 105, LINCOLN, NE 68510-4299
(402) 488-5275
(402) 483-5200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4351
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060673900
—
NE
Enumeration date
07/16/2008
Last updated
10/21/2014
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