Dr. Glenn Trautmann, D.M.D., P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

20012 Issued in TX

Legal business name

DR. GLENN TRAUTMANN, D.M.D., P.A.

Doing business as

Stonebridge Endodontics

Practice address

1750 N Stonebridge Dr
Suite 103
McKinney, TX 75071-7551

Phone

(972) 547-4141

Fax

(972) 547-1701

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Trautmann, D.M.D., M.S.

Title

President

Phone

(972) 547-4141

Specialties & licenses 1

Addresses

Other names 1

• Stonebridge Endodontics Doing business as

Locations

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1538498530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N STONEBRIDGE DR",
            "address_2": "SUITE 103",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717551",
            "telephone_number": "972-547-4141",
            "fax_number": "972-547-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N STONEBRIDGE DR",
            "address_2": "SUITE 103",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717551",
            "telephone_number": "972-547-4141",
            "fax_number": "972-547-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GLENN TRAUTMANN, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "TRAUTMANN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-547-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "20012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endodontics in McKinney, TX
• Providers in McKinney, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.