DR. GLENN DAVIS (NPI# 1437198017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437198017 |
| Entity Type | Individual |
| Full Name | DR. GLENN DAVIS |
| Credential | D.D.S. |
| Practice Address |
3703 N Kickapoo Ave Shawnee OK 74804-1703 |
| Practice Telephone | 4052750640 |
| Practice Fax Number | 4052751502 |
| Mailing Telephone | 4052750640 |
| Mailing Fax Number | 4052751502 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3839 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962923029 | Glenn Samuel Davis | Counselor | 8 Birchwood Ter, Groveland, MA 01834-1606 | 2017-06-29 |
| 1770913642 | Glenn Davis | Licensed Vocational Nurse | 95-270 Waikalani Dr, Apt B104, Mililani, HI 96789-3527 | 2013-11-13 |
| 1639353113 | Glenn Richard Davis | Pharmacist | 985 Ridge Rd, Webster, NY 14580-2905 | 2007-12-20 |
| 1083724512 | Glenn Davis | Ophthalmology | 1510 Bob White Blvd, Pulaski, VA 24301-4406 | 2006-08-30 |
| 1114934817 | Glenn Wood Davis | Marriage & Family Therapist | 43535 17th St West, #304, Lancaster, CA 93534 | 2006-08-02 |
| 1740275858 | Glenn Alan Davis | Internal Medicine | 385 Rte 24, Ste 1c, Chester, NJ 07930-2918 | 2005-09-14 |
| 1497757298 | Glenn Alan Davis | Family Medicine | 1020 Mcarthur St, Manchester, TN 37355-2453 | 2005-08-11 |
| 1144229212 | Glenn R Davis | Pharmacist | 632 Slate Ave, Owingsville, KY 40360-2206 | 2005-07-20 |
| 1851396154 | Glenn Bryan Davis | Family Medicine | 2447 Bedford St, Suite 105, Johnstown, PA 15904-1405 | 2005-06-15 |
| 1841601309 | Glenn Davis | Counselor | 662 Grant St, Denver, CO 80203-3507 | 2014-05-17 |
| Street Address |
3703 N KICKAPOO AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656117 | Joel David Piper | Dentist | 10840 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-07-17 |
| 1518450642 | Matthew Nicholas Scott | Dentist | 6852 Silverheel St, Shawnee, KS 66226-5300 | 2018-06-13 |
| 1710498050 | Reggie Cooley | Dentist | 4520 Market Place Blvd, Shawnee, OK 74804-0804 | 2017-10-13 |
| 1144494147 | Impressions Dental | Dentist | 2510 E Independence St Ste 600, Shawnee, OK 74804-1839 | 2008-04-22 |
| 1184834145 | Andrew Stewart Moore | Dentist | 5550 Hedge Lane Ter, Shawnee, KS 66226-2253 | 2007-05-22 |
| 1205959582 | Charles B Swain | Dentist | 5638 Nieman Rd, Shawnee, KS 66203-2348 | 2007-04-09 |
| 1912026162 | Amy Laymon | Dentist | 4520 Market Place Blvd Ste A, Shawnee, OK 74804-0805 | 2007-03-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1720128002 | Ocean Dental, PC | Dentist | 4409 N Kickapoo Ave, Shawnee, OK 74804-1206 | 2007-02-07 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.