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Active NPI 1437198017 Individual Practitioner Male Practitioner

Dr. Glenn Davis , DDS

Dentist - General Practice • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Davis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shawnee, OK. Practice services are available at 3703 N KICKAPOO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3703 N Kickapoo Ave

Shawnee, OK 748041703

Telephone 4052750640
Fax 4052751502
Associated Practice Facility / Clinic
🏢 Summer Dental Shawnee Pllc Facility NPI 1548834872

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shawnee, OK

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

Practicing in Shawnee, 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 3839

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

3 Associated Practitioners
NPI 1043882103

Doctor of Dental Surgery

Dr. Michael Bennett , DMD

Dentist - General Practice

NPI 1073258786

Doctor of Dental Medicine

Dr. Decker Lardner , DDS

Dentist - General Practice

NPI 1740112341

Doctor of Dental Surgery

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

📍
Updated Practice Location July 08, 2007

Registered at 3703 N KICKAPOO AVE, SHAWNEE, OK 748041703 (Tel: 4052750640)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3703 N KICKAPOO AVE, SHAWNEE, OK 748041703 (Tel: 4052750640)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN DAVIS, D.D.S.

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

Dentist (License #3839 in OK)

🟢
Initial NPI Registration & Enumeration June 06, 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: 1437198017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3703 N Kickapoo Ave

Shawnee, OK 748041703

Phone: 4052750640

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.