NPI 1053538504

E. Glenn Glassman, D.D.S. PC Dba Orthocare Systems

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Saint Louis, MO

Practice location

Address: 6925 S Lindbergh Blvd, Saint Louis, MO 63125-4220
Phone: (314) 892-8550
Fax: (314) 892-5403
Mailing address: 709 S 5th St, Saint Charles, MO 63301-2913

Authorised official

Name: Elliot Glenn Glassman
Title: Owner
Phone: (636) 757-0770

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 013277 (MO)

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Registry record

NPI: 1053538504
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.