Glenn W Bickert, DMD
Individual provider Active NPI Prosthodontics · Laguna Woods, CA
NPI 1992922447 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992922447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 27236 (CA)
- Practice address
- 25261 Paseo de Valencia
Suite 2
Laguna Woods, CA 92637-4966 - Phone
- (949) 951-7988
- Fax
- (949) 581-5227
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27236 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 27236 | CA | Yes |
Addresses
Primary practice location
25261 Paseo de Valencia
Suite 2
Laguna Woods, CA 92637-4966
Mailing address
21611 Midcrest Dr
Lake Forest, CA 92630-6584
Phone (949) 400-6923
Other names
- Dr. G W Bickert
Other providers in Laguna Woods, CA
- Keith Garold Beebe
- Beltone-Krone Hearing Aid Center
- Hannah Pelton Bensky
- Aldrin Beroncal
- Achintya Bhowmik
- Howard Kenneth Bland
- Joy Bland
- Joseph Andrew Blanscet
- Linda Duong Bow
- Trevor Andrew Boyer
All providers in Laguna Woods, CA · Prosthodontics in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.