Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710960778 Individual Practitioner Male Practitioner

Dr. Clayton Barry Glenn , DDS

Dentist • Jackson, TN

Professional Overview & Biography Verified Profile Summary

Dr. Clayton Glenn, DDS is a registered healthcare professional specializing in Dentist in Jackson, TN. Practice services are available at 29 N STAR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29 N Star Dr

Jackson, TN 383056657

Telephone 7316610051
Fax 7316610302
Associated Practice Facility / Clinic
🏢 Stephen E Collier, Md, Pc Facility NPI 1255677795

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
25 Specialists

Practicing in Jackson, TN (1629 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TN DS 4012

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3202706 (TN)
Commercial Insurance / Payer ID Dental License
DS 4012 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Helen Smith , PT

Physical Therapist - Geriatrics

NPI 1124362793

Physical Therapist

Cynthia Fish , APN

Nurse Practitioner

NPI 1295704666

Advanced Practice Nurse

Dr. Stephen Collier , MD

Internal Medicine

NPI 1316058340

Doctor of Medicine (M.D.)

Kimberly Kindle , PTA

Physical Therapy Assistant

NPI 1699119107

Physical Therapist Assistant

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 29 N STAR DR, JACKSON, TN 383056657 (Tel: 7316610051)

📍
Updated Business Mailing Address July 08, 2007

Registered at 29 N STAR DR, JACKSON, TN 383056657 (Tel: 7316610051)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLAYTON GLENN, DDS

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

Dentist (License #DS 4012 in TN)

🟢
Initial NPI Registration & Enumeration November 23, 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: 1710960778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

29 N Star Dr

Jackson, TN 383056657

Phone: 7316610051

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.