Glenn a. Middleton DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38447 Issued in CA

Legal business name

GLENN A. MIDDLETON DDS INC

Practice address

2322 Butano Dr #212
Sacramento, CA 95825

Phone

(916) 486-2838

Fax

(916) 486-0109

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Alan Middleton, DDSNPI 1215015698

Title

Dentist Owner

Phone

(916) 486-2838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Alan Middleton, DDS

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1215015698
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366537946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 BUTANO DR #212",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-486-2838",
            "fax_number": "916-486-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 BUTANO DR #212",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-486-2838",
            "fax_number": "916-486-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A. MIDDLETON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST  OWNER",
        "authorized_official_telephone_number": "916-486-2838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Gleeson
• Kimberly Leaf Gleeson, RD
• Rachel Mary Glein, MD
• Glen a Tueller DDS Inc
• Glenl Xiong, Mdinc
• Jaidah Sheree Glenn
• Kari Glenn, PH.D.
• Natalie Glenn
• Rickie Glenn
• Tonia Glenn, CA CMT 18943

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• 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.