Glenn William Fritz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401004845 Issued in VA

Practice address

4053 Taylor Rd Suite M
Chesapeake, VA 23321-5526

Phone

(757) 484-9441

Fax

(757) 484-8821

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr.'S Fritz & Olson, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesapeake, VA
  • NPI 1477768489
  Authorized official Same address or phone
• Spero Health of Virginia, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Martinsville, VA
  • NPI 1104465103
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104928555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD SUITE M",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215526",
            "telephone_number": "757-484-9441",
            "fax_number": "757-484-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 TAYLOR RD SUITE M",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215526",
            "telephone_number": "757-484-9441",
            "fax_number": "757-484-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "GLENN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "52237",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "873455",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "25239",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "260227",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy M French, DMD
• Scott Frey, DDS, MSD
• Bernarda I Frias, DDS
• Tia Nicole Friedman, M.A. CFY-SLP
• Sara Frierdich
• Brett Frommer, DO
• Kenneth Frumkin, M.D.
• Lori-Ann Fuehrer
• Carson Fuhrman, PSY.D.
• Greg Richardson Fuller, DO

• Dentist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.