Elliott Daniel Glenn, DDS

Endodontics · Milwaukee, WI

Individual Active NPI

NPI number 1942793104

Practice location

10401 W Lincoln Ave
Milwaukee, WI 53227-1255
Phone
(414) 546-1900
Fax
(414) 546-1901

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NPI record

NPI
1942793104
Entity type
Individual (Type 1)
Enumeration date
June 12, 2018
Last updated
August 25, 2021
Certified
August 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 100226515 WI
Endodontics 1223E0200X DDS-09873 IA
Student in an Organized Health Care Education/Training Program 390200000X RES-30529 IA

About Dr. Glenn

Elliott Daniel Glenn, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 10401 W Lincoln Ave, Milwaukee, WI 53227-1255. The NPI number 1942793104 was assigned on June 12, 2018 and the record was last updated on August 25, 2021.

Dr. Glenn lists 3 licenses in the registry: #100226515 (WI) for Endodontics; #DDS-09873 (IA) for Endodontics; #RES-30529 (IA) for Student in an Organized Health Care Education/Training Program. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elliott Daniel Glenn, DDS?

The NPI number is 1942793104.

What is the phone number of Dr. Glenn?

The phone number listed for the practice location is (414) 546-1900.

Where is Dr. Glenn located?

10401 W Lincoln Ave, Milwaukee, WI 53227-1255.

What is the taxonomy code for Dr. Glenn?

The primary taxonomy code is 1223E0200X – Endodontics; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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