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JEFFREY W GLYNN NPI 1801353206


NPI Information

NPI: 1801353206
Provider Name: JEFFREY W GLYNN

Doing Business As: NORTH CANTON - GLYNN FAMILY DENTAL LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
NORTH CANTON - GLYNN FAMILY DENTAL
129 EASTON ST NE
NORTH CANTON, OH
ZIP 44721
Phone: (330) 494-3400
Get Directions

JEFFREY W GLYNN is a general practice dentist in North Canton, OH. The provider is 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. JEFFREY W GLYNN NPI is 1801353206. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Canton - Glynn Family Dental Llc.

The provider's business location address is:

NORTH CANTON - GLYNN FAMILY DENTAL
129 EASTON ST NE
NORTH CANTON, OH
ZIP 44721
Phone: (330) 494-3400
Fax: (330) 497-3404

The provider's authorized official is Jeffrey W Glynn .
The authorized official title is Owner, Dentist and has the following contact phone number (614) 843-7263.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 5/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10616695MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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