| Robert W. Glineburg, D.d.s., M.s., P.a. | |
|
1630 University Avenue West Suite 104 St Paul MN 55104-3888 | |
| (651) 646-9474 | |
| (651) 646-9714 |
| Full Name | Robert W. Glineburg, D.d.s., M.s., P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1630 University Avenue West, St Paul, Minnesota |
| Authorized Official Name and Position | Robert W. Glineburg (PRESIDENT) |
| Authorized Official Contact | 6516469474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W. Glineburg, D.d.s., M.s., P.a. 1630 University Avenue West Suite 104 St Paul MN 55104-3888 Ph: (651) 646-9474 | Robert W. Glineburg, D.d.s., M.s., P.a. 1630 University Avenue West Suite 104 St Paul MN 55104-3888 Ph: (651) 646-9474 |
| NPI Number | 1194791384 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194791384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8257 (Minnesota) | Primary |
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