Individual
DR. JEREMIAH J GLOSENGER
Active
Individual
DR. JEREMIAH J GLOSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2093
ND
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.022879
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15919
—
ND
05
—
41573
—
ND
Enumeration date
05/30/2007
Last updated
12/21/2019
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