NPIMap

Organization Active NPI

Stephen O. Glenn, DDS

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1962676817
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3665 Issued in OK
Legal business name
STEPHEN O. GLENN, DDS
Practice address
5319 S Lewis Ave
Suite 222
Tulsa, OK 74105-6500
Phone
(918) 748-8484
Fax
(918) 744-0761
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Stephen O Glenn, DDSNPI 1346276151
Title
Owner/Dentist
Phone
(918) 748-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3665 OK Primary

Addresses

Primary practice location

5319 S Lewis Ave
Suite 222
Tulsa, OK 74105-6500

Mailing address

5319 S Lewis Ave
Suite 222
Tulsa, OK 74105-6500
Phone (918) 748-8484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1962676817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE",
            "address_2": "SUITE 222",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056500",
            "telephone_number": "918-748-8484",
            "fax_number": "918-744-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE",
            "address_2": "SUITE 222",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056500",
            "telephone_number": "918-748-8484",
            "fax_number": "918-744-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN O. GLENN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "918-748-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.