Glenn C. Alex, D.M.D.
Clinic/Center, Dental in Athens, GA. Organization (NPI-2).
NPI number1962660795
StatusActive
Last updated in NPPESMay 29, 2008
Details
- NPI
- 1962660795
- Entity type
- Organization (NPI-2)
- Legal business name
- Glenn C. Alex, D.M.D.
- Organization subpart
- No
- Enumeration date
- May 29, 2008
- Last updated
- May 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 010531 | GA | Yes |
Practice location
140 Trinity PlBuilding A
Athens, GA 30607-2100
Phone 706-549-5678 · Fax 706-549-8010
Mailing address
140 Trinity PlBuilding A
Athens, GA 30607-2100
Phone 706-549-5678 · Fax 706-549-8010
Authorized official
Glenn Christopher Alex
Dentist
7065495678
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