Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1477680619 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Alan Garrison , DDS

Dentist - General Practice • Pearland, TX

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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. Glenn Garrison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2007
NPI Deactivation Date January 31, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Garrison, DDS was a registered Dentist - General Practice practicing in Pearland, TX. Throughout an active medical career spanning 11 years, Dr. Garrison provided care at the practice location at 5523 WEST BROADWAY until profile deactivation on 2018-01-31.

Practice Location & Contact Primary Location

Practice Address

5523 West Broadway

Pearland, TX 77581

Telephone 2819972001
Fax 2819970173
Associated Practice Facility / Clinic
🏢 Westside Dental Pllc Facility NPI 1801382486

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pearland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Pearland, TX (10570 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 TX 15982

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
Dr. Kelly Shuford , DDS

Dentist - General Practice

NPI 1578699062

Doctor of Dental Surgery

Dr. Holda Elizondo , DDS

Dentist - General Practice

NPI 1659407146

Doctor of Dental Surgery

Dr. Andrew Rossi , DDS

Dentist - General Practice

NPI 1942564539

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 31, 2018

Record deactivated on January 31, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5523 WEST BROADWAY, PEARLAND, TX 77581 (Tel: 2819972001)

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Updated Business Mailing Address July 08, 2007

Registered at 5523 WEST BROADWAY, PEARLAND, TX 77581 (Tel: 2819972001)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN GARRISON, DDS

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

Dentist (License #15982 in TX)

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Initial NPI Registration & Enumeration February 27, 2007

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: 1477680619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: July 08, 2007
Deactivation Date: January 31, 2018

Mailing Address

5523 West Broadway

Pearland, TX 77581

Phone: 2819972001

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.