Provider Demographics
NPI:1023008869
Name:FINNEY, GLENN BRUCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:BRUCE
Last Name:FINNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 HIGHWAY 66 S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-3174
Mailing Address - Country:US
Mailing Address - Phone:423-272-2652
Mailing Address - Fax:423-272-0710
Practice Address - Street 1:4325 HIGHWAY 66 S
Practice Address - Street 2:SUITE 301
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-3174
Practice Address - Country:US
Practice Address - Phone:423-272-2652
Practice Address - Fax:423-272-0710
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000002265122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist