Individual provider · Type 1 NPI
Jeffrey David Glen, DDS
General Practice Dentistry · Phila, PA
NPI number
1659595528
Active
Practice location
5224 Ridge Ave
Phila, PA 19128-3712
Fax (215) 483-6039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS025753L (PA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1659595528
Jeffrey David Glen, DDS's National Provider Identifier is 1659595528, issued on Apr 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phila, PA. The record was last updated on Jul 8, 2007.