Individual provider · Type 1 NPI

Glenn Stephen Roeder, DDS

Periodontics · Glendale, CA

NPI number 1164572939 Active

Practice location

230 N Maryland Ave
Glendale, CA 91206-4261

Call (310) 739-5579 Map

Mailing address

PO Box 67827
Los Angeles, CA 90067-2806

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X30624 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1164572939

Glenn Stephen Roeder, DDS's National Provider Identifier is 1164572939, issued on Jan 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Glendale, CA. The record was last updated on Apr 1, 2009.