DR. ELLIOTT DANIEL GLENN DDS NPI 1942793104

NPI Information

NPI: 1942793104
Provider Name: DR. ELLIOTT DANIEL GLENN, DDS
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
10401 W LINCOLN AVE
MILWAUKEE, WI
ZIP 53227
Phone: (414) 546-1900
Get Directions

DR. Elliott Daniel Glenn, DDS is an endodontics dentist in Milwaukee, WI. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Elliott Daniel Glenn, DDS NPI is 1942793104. 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:

10401 W LINCOLN AVE
MILWAUKEE, WI
ZIP 53227-255
Phone: (414) 546-1900
Fax: (414) 546-1901

The enumeration date for this NPI number is 6/12/2018 and was last updated on 8/25/2021.

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
1	1223E0200X	Dentist	Endodontics	100226515	WISCONSIN	Yes
2	1223E0200X	Dentist	Endodontics	DDS-09873	IOWA	No
3	390200000X	Student in an Organized Health Care Education/Training Program		RES-30529	IOWA	No

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: 4/28/2024

NPI Synchronization or Removal

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