| Glenn S. Parry, Dmd, Pc | |
| 
					220 Shoshone Ave Green River WY 82935-5468  | |
| (307) 875-7770 | |
| Not Available | 
| Full Name | Glenn S. Parry, Dmd, Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 220 Shoshone Ave, Green River, Wyoming | 
| Authorized Official Name and Position | Glenn S. Parry (PRESIDENT) | 
| Authorized Official Contact | 3078757770 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Glenn S. Parry, Dmd, Pc Po Box 1002 Green River WY 82935-1002 Ph: (307) 875-7770  | Glenn S. Parry, Dmd, Pc 220 Shoshone Ave Green River WY 82935-5468 Ph: (307) 875-7770  | 
| NPI Number | 1639375975 | 
|---|---|
| Provider Enumeration Date | 06/25/2007 | 
| Last Update Date | 09/24/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639375975 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 670 (Wyoming) | Primary | 
Tanner Family Dentistry, Devin K. Tanner Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Shoshone Ave, Green River, WY 82935 Phone: 307-875-7770  | |
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