Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194037648 Deactivated / Inactive NPI Male Practitioner

Dr. Melvin M Glick , DDS

Dentist • Indio, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Melvin Glick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2010
NPI Deactivation Date January 26, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Melvin Glick, DDS was a registered Dentist practicing in Indio, CA. Throughout an active medical career spanning 11 years, Dr. Glick provided care at the practice location at 44100 JEFFERSON ST until profile deactivation on 2021-01-26.

Practice Location & Contact Primary Location

Practice Address

44100 Jefferson St
Suite 404

Indio, CA 922012712

Telephone 7607720214
Fax 7607720583
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1023051638

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Indio, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Indio, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 21576

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Robert Vaca , DDS

Dentist - General Practice

NPI 1578750378

Doctor of Dental Surgery

Dr. Robert Daddio , DDS

Dentist - General Practice

NPI 1790800027

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 26, 2021

Record deactivated on January 26, 2021

NPI Profile Active July 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2010

Registered at 44100 JEFFERSON ST, SUITE 404, INDIO, CA 922012712 (Tel: 7607720214)

📍
Updated Business Mailing Address July 12, 2010

Registered at 44100 JEFFERSON ST, SUITE 404, INDIO, CA 922012712 (Tel: 7607720214)

👤
Provider Name / Credentials Updated July 12, 2010

Recorded as MELVIN GLICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2010

Dentist (License #21576 in CA)

🟢
Initial NPI Registration & Enumeration July 12, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Melvin Glick. Be the first to share your experience!

Sign in to leave a review for Dr. Melvin Glick

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194037648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2010
Last Update: July 12, 2010
Deactivation Date: January 26, 2021

Mailing Address

44100 Jefferson St, Suite 404

Indio, CA 922012712

Phone: 7607720214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.