Glen Edwin Casper , LD
Denturist • North Bend, OR
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, Glen Casper has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Glen Casper, LD was a registered Denturist practicing in North Bend, OR. Throughout an active medical career spanning 9 years, Glen Casper provided care at the practice location at 3436 BROADWAY ST until profile deactivation on 2021-06-14.
Practice Location & Contact Primary Location
3436 Broadway St
North Bend, OR 974591202
Specialty Benchmarks & Practice Insights
Comparative analytics for Denturist in North Bend, OR
Practicing in North Bend, OR (139 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122400000X
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 14, 2021
NPI status registered as active in NPPES database
Registered at 3436 BROADWAY ST, NORTH BEND, OR 974591202 (Tel: 5417566313)
Registered at 3436 BROADWAY ST, NORTH BEND, OR 974591202 (Tel: 5417566313)
Recorded as GLEN CASPER, LD
Denturist (License #DT-DO 364493 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3436 Broadway St
North Bend, OR 974591202
Phone: 5417566313
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