Dr Glenn Davis, DDS in Shawnee, OK - Medicare Dentist Provider

Dr Glenn Davis, DDS is a medicare enrolled "Dentist - General Practice" provider in Shawnee, Oklahoma. His current practice location is 3703 N Kickapoo Ave, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 275-0640.

Dr Glenn Davis is licensed to practice in Oklahoma (license number 3839) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437198017.

Contact Information

	Dr Glenn Davis, DDS
	3703 N Kickapoo Ave, Shawnee, OK 74804-1703
	(405) 275-0640
	(405) 275-1502

Healthcare Provider's Profile

Full Name	Dr Glenn Davis
Gender	Male
Speciality	Dentist - General Practice
Location	3703 N Kickapoo Ave, Shawnee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437198017
Provider Enumeration Date: 06/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022312768
Enrollment ID: I20160201001709

Medical Identifiers

Medical identifiers for Dr Glenn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437198017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3839 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Davis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Glenn Davis, DDS 3703 N Kickapoo Ave, Shawnee, OK 74804-1703 Ph: (405) 275-0640	Dr Glenn Davis, DDS 3703 N Kickapoo Ave, Shawnee, OK 74804-1703 Ph: (405) 275-0640

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Dentist in Shawnee, OK

Nicklaus Clifford, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2510 E Independence St Ste 600, Shawnee, OK 74804 Phone: 405-273-2002 Fax: 405-273-0087
Dr. Brock Wesley Nichols, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3703 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-0640 Fax: 405-225-3008
Dr. Anaita Nalladaru Mullasseril, B.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 Shawnee Mall Dr, Shawnee, OK 74804 Phone: 405-878-8899 Fax: 405-878-8896
Michael Bennett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3703 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-0640 Fax: 405-225-3008
Dr. William Jack Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18 E Dunloup, Shawnee, OK 74804 Phone: 405-275-7520 Fax: 405-275-4787
Chase C Youngblood, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2025 S Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-307-9704
Dr. Jennifer Elizabeth Baisden, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 19 W Interstate Pkwy, Shawnee, OK 74804 Phone: 405-788-4701

Dr Glenn Davis, DDS - Medicare Dentist in Shawnee, OK