Individual provider · Type 1 NPI
William James Glenos Ii, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · St. Augustine, FL
Practice location
22 Saint Johns Medical Pk Dr
St. Augustine, FL 32086-5299
Mailing address
107 Inlet Dr
St. Augustine, FL 32080-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DN8867 (FL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1447267869
William James Glenos Ii, DMD's National Provider Identifier is 1447267869, issued on Aug 1, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.