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Dr. Elliott Daniel Glenn, DDS
Endodontist in Milwaukee, Wisconsin
NPI 1942793104

Elliott Daniel Glenn is a Endodontist based in Milwaukee, WI and is specialized in Endodontics. Elliott Daniel Glenn practices in Milwaukee, WI and has the professional credentials of DDS. The NPI Number for Elliott Daniel Glenn is 1942793104 and holds a License No. DDS-09873 (Wisconsin).

The current practice location address for Elliott Daniel Glenn is 10401 W Lincoln Ave, Milwaukee, WI and can be reached out via phone at 414-546-1900 and via fax at 414-546-1901.

Location: 10401 W Lincoln Ave, Milwaukee, WI, 53227-1255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942793104
Provider Name
Elliott Daniel Glenn
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10401 W Lincoln Ave, Milwaukee, WI, 53227-1255
Phone Number
414-546-1900
Fax Number
414-546-1901
Provider Enumeration Date
06/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10401 W Lincoln Ave
City
Milwaukee
State
Wisconsin
Zip
53227-1255
Phone Number
414-546-1900
Fax Number
414-546-1901
person
Provider Business Mailing Address Details
Address
10401 W Lincoln Ave
City
Milwaukee
State
Wisconsin
Zip
53227-1255
Phone Number
414-546-1900
Fax Number
414-546-1901
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
RES-30529 (Iowa)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DDS-09873 (Iowa)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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