Individual
DR. ANDREW REMINGTON GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3401 PLANTATION DR, SUITE 100, LINCOLN, NE 68516-4712
(402) 421-3401
(402) 421-3411
Mailing address
3401 PLANTATION DR, SUITE 100, LINCOLN, NE 68516-4712
(402) 421-3401
(402) 421-3411
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6467
NE
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
23254
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025325600
—
NE
Enumeration date
07/20/2006
Last updated
07/30/2015
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