Individual provider · Type 1 NPI
Kenneth Glenn, DDS
General Practice Dentistry · Fortuna, CA
NPI number
1649854878
Active
Practice location
3750 Rohnerville Rd
Fortuna, CA 95540-3118
Mailing address
11000 Weyburn Dr Apt A723
Los Angeles, CA 90024-2832
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | 109463 (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.
12 other providers at this address
- Ardith Lynch, RNRegistered Nurse Fortuna, CA NPI 1720768377
- Ashley Megan Bramlett, RNRegistered Nurse Fortuna, CA NPI 1760302715
- Beth Ann Lynagh, RNRegistered Nurse Fortuna, CA NPI 1437853868
- Caitlin Mullins, MDFamily Medicine Physician Fortuna, CA NPI 1710483086
- Chance Holcomb, RNCommunity Health Registered Nurse Fortuna, CA NPI 1477476406
- Courtney EmbryCommunity Health Registered Nurse Fortuna, CA NPI 1881559821
- Hyun Ryung Choi, MD.Family Medicine Physician Fortuna, CA NPI 1205578663
- John Richard Aragon, DDSGeneral Practice Dentistry Fortuna, CA NPI 1841275823
- Lisa Ann RousseauRegistered Nurse Fortuna, CA NPI 1295599702
- Michael Francis Manhard, DDSDentist Fortuna, CA NPI 1184722902
- Natalie Kathryn McQueen, PA-CMedical Physician Assistant Fortuna, CA NPI 1790179984
- Tatsiana Franco, PAPhysician Assistant Fortuna, CA NPI 1558037465
Other general practice dentistry providers in Fortuna
About NPI 1649854878
Kenneth Glenn, DDS's National Provider Identifier is 1649854878, issued on May 12, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fortuna, CA. The record was last updated on Mar 14, 2025.