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NPI Code Detail

MEDICARE: GLYNN KEITH SOLOMON DDS

MEDICARE:   GLYNN KEITH SOLOMON  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
11223G0001XGeneral Practice Dentistry15540TX

General Provider Information

NPI Number : 1487727780
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLYNN KEITH SOLOMON DDS
Provider Business Mailing Address
First Line : 516 ROYAL OAKS LN
Second Line :
City : OAK POINT
State : TX
Zip : 75068-1396
Country : US
Telephone Number : 469-441-7745
Fax Number :
Provider Business Practice Location Address
First Line : 516 ROYAL OAKS LN
Second Line :
City : OAK POINT
State : TX
Zip : 75068-1396
Country : US
Telephone Number : 469-441-7745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 08/08/2024

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Directions to “ GLYNN KEITH SOLOMON DDS” Practice Location

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