Individual
GLEN A HYDE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
186 HOSPITAL RD, SUITE 600, WINCHESTER, TN 37398-2472
(931) 967-6112
(931) 967-0462
Mailing address
186 HOSPITAL RD, SUITE 600, WINCHESTER, TN 37398-2472
(931) 967-6112
(931) 967-0462
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3404
TN
Other
Enumeration date
07/21/2005
Last updated
07/08/2007
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