Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780607408 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Paul Crooks , DDS

Dentist - General Practice • Atlanta, GA

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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. Glenn Crooks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2006
NPI Deactivation Date October 23, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Crooks, DDS was a registered Dentist - General Practice practicing in Atlanta, GA. Throughout an active medical career spanning 19 years, Dr. Crooks provided care at the practice location at 40 PRYOR ST SW until profile deactivation on 2025-10-23.

Practice Location & Contact Primary Location

Practice Address

40 Pryor St Sw
1st Floor

Atlanta, GA 303033145

Telephone 4045227810
Fax 4045259489

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
383 Specialists

Practicing in Atlanta, GA (3302 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 GA 9311

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

7 Historical Events
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NPI Profile Deactivated October 23, 2025

Record deactivated on October 23, 2025

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 40 PRYOR ST SW, 1ST FLOOR, ATLANTA, GA 303033145 (Tel: 4045227810)

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Updated Business Mailing Address July 08, 2007

Registered at 40 PRYOR ST SW, 1ST FLOOR, ATLANTA, GA 303033145 (Tel: 4045227810)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN CROOKS, D.D.S.

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

Dentist (License #9311 in GA)

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Initial NPI Registration & Enumeration July 25, 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: 1780607408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Deactivation Date: October 23, 2025

Mailing Address

40 Pryor St Sw, 1st Floor

Atlanta, GA 303033145

Phone: 4045227810

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.