Individual provider · Type 1 NPI

Russell Eugene Glenn Jr., DDO

Dentist · Grand Prairie, TX

NPI number 1801904321 Active

Practice location

573 W Pioneer Pkwy
Grand Prairie, TX 75051

Fax (972) 642-1251

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	16051 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1801904321

Russell Eugene Glenn Jr., DDO's National Provider Identifier is 1801904321, issued on Aug 25, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 8, 2007.