Individual
DR. GLENN R BLINCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4122 SHELBYVILLE RD, SUITE 115, LOUISVILLE, KY 40207-3242
(502) 895-2210
Mailing address
4122 SHELBYVILLE RD, SUITE 115, LOUISVILLE, KY 40207-3242
(502) 895-2210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4954
KY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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