Individual provider · Type 1 NPI

Glen A. Tistaert, DDS

General Practice Dentistry · Santa Monica, CA

NPI number 1184841207 Active

Practice location

1333 7th St
Santa Monica, CA 90401-1607

Call (310) 394-2661 Map

Fax (310) 450-9451

Mailing address

2648 34th St
Santa Monica, CA 90405-3115

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X18421 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1184841207

Glen A. Tistaert, DDS's National Provider Identifier is 1184841207, issued on Apr 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 8, 2007.