Jordan Matthew Glenn, DDS is a
Dentist - General Practice based in Windsor, New York. Jordan Matthew Glenn is licensed to practice in New York (license number 055268) and his current practice location is
5 College Ave, Windsor, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 655-2141.
NPI number for Jordan Matthew Glenn is 1881902039 and his current mailing address is 5 College Ave, Po Box 347, Windsor, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881902039.
Healthcare Provider's Profile
| Full Name | Jordan Matthew Glenn |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 5 College Ave, Windsor, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881902039
- Provider Enumeration Date: 09/22/2010
- Last Update Date: 09/22/2010
Medical Identifiers
Medical identifiers for Jordan Matthew Glenn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881902039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 055268 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Matthew Glenn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Matthew Glenn, DDS
5 College Ave, Po Box 347,
Windsor, NY 13865-4109
Ph: (607) 655-2141 | Jordan Matthew Glenn, DDS
5 College Ave,
Windsor, NY 13865-4109
Ph: (607) 655-2141 |
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