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NPI Code Detail

MEDICARE: FALONA GLENN DDS, PC

MEDICARE: FALONA GLENN DDS, PC
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
11223G0001XGeneral Practice Dentistry7880CO

General Provider Information

NPI Number : 1205166709
Entity Type Code : Organization
Provider Name (Legal Business Name) : FALONA GLENN DDS, PC
Provider Business Mailing Address
First Line : 2675 S ABILENE ST STE 135
Second Line :
City : AURORA
State : CO
Zip : 80014-2363
Country : US
Telephone Number : 303-751-6916
Fax Number : 303-751-4910
Provider Business Practice Location Address
First Line : 2675 S ABILENE ST STE 135
Second Line :
City : AURORA
State : CO
Zip : 80014-2363
Country : US
Telephone Number : 303-751-6916
Fax Number : 303-751-4910
Authorized Official
Title or Position : DENTIST
Name : DR. FALONA GLENN
Credential : DDS
Telephone Number : 303-751-6916
Provider Enumeration Date : 01/05/2010
Last Update Date : 07/22/2021

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