Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821095712 Individual Practitioner Male Practitioner

Dr. Randall Francis Glenn , DMD

Dentist - General Practice • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Dr. Randall Glenn, DMD is a registered healthcare professional specializing in Dentist - General Practice in Meridian, ID. Practice services are available at 3043 S MERIDIAN RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3043 S Meridian Rd Ste 100

Meridian, ID 836427936

Telephone 2088840888
Associated Practice Facility / Clinic
🏢 Advantage Dental Center Facility NPI 1952560278

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
78 Specialists

Practicing in Meridian, ID (781 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: 2025-02-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-4962

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D8324

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. Lester Richins , DMD

Dentist - General Practice

NPI 1831107945

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 10, 2025

Registered at 3043 S MERIDIAN RD STE 100, MERIDIAN, ID 836427936 (Tel: 2088840888)

📍
Updated Business Mailing Address February 10, 2025

Registered at 3043 S MERIDIAN RD STE 100, MERIDIAN, ID 836427936 (Tel: 2088840888)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 19731 S. HWY 213, OREGON CITY, OR 97045 (Tel: 5035183384)

📍
Updated Business Mailing Address July 08, 2007

Registered at 19731 S. HWY 213, OREGON CITY, OR 97045 (Tel: 5035183384)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL GLENN, D.M.D.

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

Dentist (License #D8324 in OR)

🟢
Initial NPI Registration & Enumeration July 07, 2005

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: 1821095712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: February 10, 2025
Sole Proprietor: Yes

Mailing Address

3043 S Meridian Rd Ste 100

Meridian, ID 836427936

Phone: 2088840888

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.