Glenn Joseph Kuemerle, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

18775 Issued in OH

Practice address

33398 Walker Rd
Suite a
Avon Lake, OH 44012-1496

Phone

(440) 933-4486

Fax

(440) 930-4681

NPI assigned

Nov 10, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922089499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33398 WALKER RD",
            "address_2": "SUITE A",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121496",
            "telephone_number": "440-933-4486",
            "fax_number": "440-930-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33398 WALKER RD",
            "address_2": "SUITE A",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121496",
            "telephone_number": "440-933-4486",
            "fax_number": "440-930-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEMERLE",
        "first_name": "GLENN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "18775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2442566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Koncilja, M.A., LPCC
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• Dentist in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Dentist in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.