Active NPI 1154496289 Individual Practitioner Male Practitioner

Dr. Glenn Clifford Blum , DDS

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Blum, DDS is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 1308 CELESTE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1308 Celeste Dr
Suite B

Modesto, CA 953552402

Telephone 2095762884

Fax 2095762412

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 1.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

133 Specialists

Practicing in Modesto, CA (18734 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 29713

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Roy Morita , DDS

Dentist - Periodontics

NPI 1710030408

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1308 CELESTE DR, SUITE B, MODESTO, CA 953552402 (Tel: 2095762884)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1308 CELESTE DR, SUITE B, MODESTO, CA 953552402 (Tel: 2095762884)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN BLUM, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #29713 in CA)

🟢

Initial NPI Registration & Enumeration November 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154496289

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 22, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1308 Celeste Dr, Suite B

Modesto, CA 953552402

Phone: 2095762884

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.