Dr. Glenn Robert Head, D.M.D.
Dentist, Pediatric Dentistry in Greenville, SC. Individual provider (NPI-1).
NPI number1790771871
StatusActive
Last updated in NPPESOct 23, 2012
Details
- NPI
- 1790771871
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn Robert Head
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2005
- Last updated
- Oct 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 2868 | SC | Yes |
Practice location
6 Pointe CirGreenville, SC 29615-3506
Phone 864-233-1234 · Fax 864-298-8009
Mailing address
6 Pointe CirGreenville, SC 29615-3506
Phone 864-233-1234 · Fax 864-298-8009
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