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NPI Code Detail

MEDICARE: DR. GLEN R MEYER DDS

MEDICARE:  DR. GLEN R MEYER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14977OH

General Provider Information

NPI Number : 1083714588
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLEN R MEYER DDS
Provider Business Mailing Address
First Line : 105 E 4TH ST
Second Line : SUITE 1175
City : CINCINNATI
State : OH
Zip : 45202-4009
Country : US
Telephone Number : 513-621-1432
Fax Number : 513-621-0862
Provider Business Practice Location Address
First Line : 105 E 4TH ST
Second Line : SUITE 1175
City : CINCINNATI
State : OH
Zip : 45202-4009
Country : US
Telephone Number : 513-621-1432
Fax Number : 513-621-0862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GLEN R MEYER DDS” Practice Location

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