Individual provider · Type 1 NPI

Glen M. Shimshak, DMD

General Practice Dentistry · Portland, OR

NPI number 1205948130 Active

Practice location

511 SW 10th, #1008
Portland, OR 97205

Call (503) 223-2442 Map

Fax (503) 223-9447

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4978 (OR)

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 1205948130

Glen M. Shimshak, DMD's National Provider Identifier is 1205948130, issued on Aug 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.