DR. Glen A. Tistaert, DDS is a general practice dentist in Santa Monica, CA. The provider is 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. DR. Glen A. Tistaert, DDS NPI is 1184841207. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1333 7TH ST
SANTA MONICA, CA
ZIP 90401-607
Phone: (310) 394-2661
Fax: (310) 450-9451
The NPI 1184841207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.