Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174676589 Individual Practitioner Male Practitioner

Glenn M. Frederick

Dentist - General Practice • Canterbury, CT

Professional Overview & Biography Verified Profile Summary

Glenn Frederick is a registered healthcare professional specializing in Dentist - General Practice in Canterbury, CT. Practice services are available at 37 S CANTERBURY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

37 S Canterbury Rd

Canterbury, CT 063311520

Telephone 8605469434

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Canterbury, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Canterbury, CT (1821 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 CT 5093

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.

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

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Updated Practice Location July 08, 2007

Registered at 37 S CANTERBURY RD, CANTERBURY, CT 063311520 (Tel: 8605469434)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 487, CANTERBURY, CT 063310487 (Tel: 8606082334)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN FREDERICK

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

Dentist (License #5093 in CT)

🟢
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174676589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 487

Canterbury, CT 063310487

Phone: 8606082334

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.