Kirt Glenn is a General Practice in Brownsville, Oregon. Kirt Glenn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirt Glenn is 1174518195. The last update date is 2019-03-25.
Kirt Glenn's current location address is 102 E Bishop Way, Brownsville, Oregon. You can contact this provider via phone number 5414665171. The mailing address for Kirt Glenn is 102 E Bishop Way, Brownsville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirt Glenn |
|---|---|
| Address | 102 E Bishop Way, Brownsville, Oregon |
| Phone Number | 5414665171 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1174518195 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2019-03-25 |
Provider Mailing Address Detail
| Address | 102 E Bishop Way |
|---|---|
| City | Brownsville |
| State | Oregon (OR) |
| Post Code | 973272165 |
| Phone Number | 5414665171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7624 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Kirt Glenn by the Centers for Medicare & Medicaid Services?
The Kirt Glenn has been assigned the NPI (National Provider Identifier) 1174518195. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kirt Glenn located?
The Kirt Glenn is located at 102 E Bishop Way, Brownsville, OR 973272165.
What is Kirt Glenn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kirt Glenn's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174518195 to Kirt Glenn?
The Kirt Glenn received its 1174518195 assignment from the Centers for Medicare & Medicaid Services on 2005-09-15.
As of what date were the details related to Kirt Glenn most recently updated or revised?
The information pertaining to Kirt Glenn, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-25.
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