| Glenwood Dental Association, Llp | |
|
17 West Glenwood Avenue Smyma DE 19977 | |
| (302) 653-5011 | |
| (302) 653-8839 |
| Full Name | Glenwood Dental Association, Llp |
|---|---|
| Speciality | Dentist |
| Location | 17 West Glenwood Avenue, Smyma, Delaware |
| Authorized Official Name and Position | Tina M Shane (BILLING/INSURANCE) |
| Authorized Official Contact | 3026535011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenwood Dental Association, Llp 17 West Glenwood Avenue Smyma DE 19977 Ph: (302) 653-5011 | Glenwood Dental Association, Llp 17 West Glenwood Avenue Smyma DE 19977 Ph: (302) 653-5011 |
| NPI Number | 1487664314 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | GI-0000761 (Delaware) | Secondary |
| 122300000X | Dentist | GI-0001103 (Delaware) | Primary |