Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN STEPHEN ROEDER, D.D.S.
Active Sole ProprietorDR. GLENN STEPHEN ROEDER, D.D.S. is a Periodontology healthcare provider located in GLENDALE, California. NPI 1164572939 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GLENDALE, CA
Registration Details
- NPI Number
- 1164572939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2007 (19.553306789271 yrs)
- Last Updated
- Apr 1, 2009
- License
-
30624 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 N MARYLAND AVEGLENDALE, CA, 912064261Browse CA providers · Browse ZIP 91206
- Phone
- 3107395579
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in GLENDALE, CA
| Name | Credential | NPI |
|---|---|---|
| STEPHEN B GOLDMAN | DDS | 1508873167 |
| DR. EDITH GEVORGIAN | DDS | 1063597417 |
| DR. ANDROUSH SAFARIAN | D.M.D. | 1386869063 |
| DR. TYLER JENSEN HENDRY | D.D.S. | 1285897660 |
| DR. JOSEPH MOUNIR MORCOS | DDS | 1134426521 |
| DR. RAFFIE GARABEDIAN | DMD, MS | 1841710316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.