Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568536589 Deactivated / Inactive NPI Male Practitioner

Dr. Glen Paul Brooks , DDS

Dentist - General Practice • Edmond, OK

⚠️

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. Glen Brooks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2006
NPI Deactivation Date June 09, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Brooks, DDS was a registered Dentist - General Practice practicing in Edmond, OK. Throughout an active medical career spanning 14 years, Dr. Brooks provided care at the practice location at 1713 W 33RD ST until profile deactivation on 2020-06-09.

Practice Location & Contact Primary Location

Practice Address

1713 W 33rd St
Suite B

Edmond, OK 730133819

Telephone 4053407070
Fax 4053407050

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
71 Specialists

Practicing in Edmond, OK (1496 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 OK 3549

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
Behrooz Mahmoodjanloo

Durable Medical Equipment & Medical Supplies

NPI 1790257970

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 09, 2020

Record deactivated on June 09, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1713 W 33RD ST, SUITE B, EDMOND, OK 730133819 (Tel: 4053407070)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1713 W 33RD ST, SUITE B, EDMOND, OK 730133819 (Tel: 4053407070)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN BROOKS, D.D.S.

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

Dentist (License #3549 in OK)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Glen Brooks. Be the first to share your experience!

Sign in to leave a review for Dr. Glen Brooks

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1568536589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Deactivation Date: June 09, 2020

Mailing Address

1713 W 33rd St, Suite B

Edmond, OK 730133819

Phone: 4053407070

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.