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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN ROBERT HEAD, D.M.D.

Deactivated Sole Proprietor

DR. GLENN ROBERT HEAD, D.M.D. is a Pediatric Dentistry healthcare provider located in GREENVILLE, South Carolina. NPI 1790771871 is deactivated in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GREENVILLE, SC

This NPI has been deactivated. The record was deactivated on March 24, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1790771871
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2005 (0.4986301369863 yrs)
Last Updated
Oct 23, 2012
Deactivated
Mar 24, 2006
License
2868 (SC)
Sole Proprietor
Yes

Practice Information

Address
6 POINTE CIR
GREENVILLE, SC, 296153506
Browse SC providers · Browse ZIP 29615
Phone
8642331234
Fax
8642988009
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in GREENVILLE, SC

Name Credential NPI
JORI FALCON DMD 1265407159
DR. BRIAN TIMOTHY JONES DMD 1548225659
DR. JENNIFER L GARVEY DMD 1518986496
DR. APRIL DUNLAP CZARSTY DMD 1508956632
DR. MARY WHITAKER CROCKETT D.M.D. 1194805143
DR. KRISTEN KONETZNI UPRICHARD D.M.D 1619057221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.