Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962086827 Individual Practitioner Male Practitioner

Ethan Christopher Glock

Dental Assistant • Fort Carson, CO

Professional Overview & Biography Verified Profile Summary

Ethan Glock is a registered healthcare professional specializing in Dental Assistant in Fort Carson, CO. Practice services are available at 1667 COCHRANE CIR BLDG 7495 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1667 Cochrane Cir Bldg 7495

Fort Carson, CO 809134603

Telephone 7195265537

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Fort Carson, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
125 Specialists

Practicing in Fort Carson, CO (180 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

CMS Verified: 2021-05-07
Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Linda Hohl , RDH

Dental Hygienist

NPI 1003188186

Registered Dental Hygienist

Alandra Colman , 68E

Dental Assistant

NPI 1013404045
Carri Decamp

Dental Hygienist

NPI 1013585413
Christina Egeland

Dental Assistant

NPI 1013651504
Frances Lee

Dental Assistant

NPI 1023467123
Karen Olazabal

Dental Assistant

NPI 1023657103

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2021

Registered at 1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 809134603 (Tel: 7195265537)

📍
Updated Business Mailing Address May 07, 2021

Registered at 1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 809134603 (Tel: 7195265537)

👤
Provider Name / Credentials Updated May 07, 2021

Recorded as ETHAN GLOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2021

Dental Assistant

🟢
Initial NPI Registration & Enumeration May 07, 2021

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: 1962086827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2021
Last Update: May 07, 2021
Sole Proprietor: No

Mailing Address

1667 Cochrane Cir Bldg 7495

Fort Carson, CO 809134603

Phone: 7195265537

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.