Glenn R. Stenquist, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016038 Issued in MO

Practice address

1021 W Buchanan St
Suite 18
California, MO 65018-1238

Phone

(573) 796-8686

Fax

(573) 796-5050

NPI assigned

May 26, 2006

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 1, 2009 through Aug 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mike a. Lutz, D.D.S., P.C.

  • General Practice Dentistry
  • California, MO
  • NPI 1326095159
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851347017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24515 HIGHWAY D",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650182758",
            "telephone_number": "573-796-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W BUCHANAN ST",
            "address_2": "SUITE 18",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181238",
            "telephone_number": "573-796-8686",
            "fax_number": "573-796-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENQUIST",
        "first_name": "GLENN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "016038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamida Stores Operating Co LLC (Pamida Pharmacy 853)
• Pamida Stores Operating Co LLC (Pamida Pharmacy 853)
• Breanna Rae Pruitt
• Jill Denise Smith Radkowiec, OD
• Nicole E. Raithel
• Cole Edward Vanderfeltz, OD
• Donald J Vanderfeltz, O. D.
• Kennedy Jean Volkart, DC
• William Wallace, CRAADC, PLPC
• Brady L Wilborn, O.D.

• General Practice Dentistry in California, MO
• Providers in California, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.