Glenna K. Sequeira DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6547 Issued in OR

Legal business name

GLENNA K. SEQUEIRA DMD, PC

Practice address

2440 NE Fremont St
Portland, OR 97212

Phone

(503) 249-8771

Fax

(503) 249-8772

NPI assigned

Sep 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenna Kathleen Sequeira, D.M.D.NPI 1841312634

Title

President

Phone

(503) 249-8771

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenna K Sequeira, DMD

  • Dentist
  • Portland, OR
  • NPI 1841312634
  NPD (past) Authorized official
• Adair Christine Pardi, RDH, EPDH

  • Dental Hygienist
  • Hillsboro, OR
  • NPI 1912621558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013029230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "503-249-8771",
            "fax_number": "503-249-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "503-249-8771",
            "fax_number": "503-249-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENNA K. SEQUEIRA DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-249-8771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Char Glenn, M.D.
• Christine Genevieve Glenn, PHD.
• Colin Glenn, D.D.S.
• Linda Diane Glenn, CNM
• Stephen Glenn, RPH
• Haley Nicole Glennon
• Benjamin A Glick
• Lucille Rose Tower Glick, CNM
• Terry Lynn Glickman, PA
• David Jonathan Glidden, MD

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.