Individual provider · Type 1 NPI
Glenn R. Gavin, DDS
General Practice Dentistry · Glen Ellyn, IL
NPI number
1831202712
Active
Practice location
586 Duane St Ste 101
Glen Ellyn, IL 60137-4639
Fax (630) 545-9155
Mailing address
6015 Hillcrest Ct
Downers Grove, IL 60516-1778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
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 1831202712
Glenn R. Gavin, DDS's National Provider Identifier is 1831202712, issued on Aug 16, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jul 8, 2007.