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Search › Wisconsin › 1223E0200X

Elliott Glenn, DDS

NPI 1942793104 · on the registry since 2018

Practice

Address
10401 W Lincoln Ave
Milwaukee, WI 53227
Phone
(414) 546-1900
Fax
(414) 546-1901
Organisation at this address
Wisconsin Endodontics Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
390200000X
Licence states on file
IA, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin