DR. GLENN MICHAEL MISONO DDS NPI 1841404100

NPI Information

  • NPI: 1841404100
  • Provider Name: DR. GLENN MICHAEL MISONO, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 4660 NATOMAS BLVD
    SUITE 140
    SACRAMENTO, CA
    ZIP 95835
  • Phone: (916) 419-0254

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NPI Details

DR. Glenn Michael Misono, DDS is a general practice dentist in Sacramento, 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. Glenn Michael Misono, DDS NPI is 1841404100. 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:

4660 NATOMAS BLVD
SUITE 140
SACRAMENTO, CA
ZIP 95835-224
Phone: (916) 419-0254
Fax: (916) 419-0284

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice30953CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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