Provider Demographics
NPI:1689893737
Name:HEMBERGER, GLENN V (DDS)
Entity Type:Individual
Prefix:
First Name:GLENN
Middle Name:V
Last Name:HEMBERGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8575 W 110TH ST STE 310
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2774
Mailing Address - Country:US
Mailing Address - Phone:913-345-0331
Mailing Address - Fax:913-345-2601
Practice Address - Street 1:8575 W 110TH ST STE 310
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2774
Practice Address - Country:US
Practice Address - Phone:913-345-0331
Practice Address - Fax:913-345-2601
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS49211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry