Individual
DR. GLENNIS JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
76 NEALY BLVD, HAMPTON, VA 23665-2022
(757) 764-6824
Mailing address
76 NEALY BLVD, HAMPTON, VA 23665-2022
(757) 764-6824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI018579
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6076505
—
NJ
Enumeration date
04/21/2006
Last updated
01/23/2025
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