Clayton Barry Glenn in Jackson - Dentist
Clayton Barry Glenn - NPI 1710960778
Clayton Barry Glenn is a Dentist in Jackson, Tennessee. Clayton Barry Glenn practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clayton Barry Glenn is 1710960778. The last update date is 2007-07-08.
Clayton Barry Glenn's current location address is 29 N Star Dr, Jackson, Tennessee. You can contact this provider via phone number 7316610051 and fax number 7316610302. The mailing address for Clayton Barry Glenn is 29 N Star Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clayton Barry Glenn |
|---|---|
| Address | 29 N Star Dr, Jackson, Tennessee |
| Phone Number | 7316610051 |
| Fax Number | 7316610302 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710960778 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 29 N Star Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383056657 |
| Phone Number | 7316610051 |
| Fax Number | 7316610302 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS 4012 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3202706 | TN | -- | |
| DS 4012 | TN | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clayton Barry Glenn by the Centers for Medicare & Medicaid Services?
The Clayton Barry Glenn has been issued the NPI (National Provider Identifier) 1710960778, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clayton Barry Glenn's facilities are geographically located?
The facilities of Clayton Barry Glenn are physically situated at the following location: 29 N Star Dr, Jackson, TN, 383056657.
What is Clayton Barry Glenn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clayton Barry Glenn is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Clayton Barry Glenn receive its 1710960778 assignment from the Centers for Medicare & Medicaid Services?
The Clayton Barry Glenn was assigned its 1710960778 on 2005-11-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Clayton Barry Glenn's details last updated?
The information pertaining to the Clayton Barry Glenn, including its address, specialty, and other details, was most recently updated on 2007-07-08.