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Deactivated NPI 1831256668 Deactivated / Inactive NPI Male Practitioner

Dr. Glen A Monson , DDS

Dentist • Monroe, WA

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

Registration / Start Date January 02, 2007
NPI Deactivation Date August 21, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Monson, DDS was a registered Dentist practicing in Monroe, WA. Throughout an active medical career spanning 17 years, Dr. Monson provided care at the practice location at 17798 147TH ST SE until profile deactivation on 2024-08-21.

Practice Location & Contact Primary Location

Practice Address

17798 147th St Se

Monroe, WA 98272

Telephone 3608050211
Fax 3608639222
Associated Practice Facility / Clinic
🏢 Evergreen Family Dentistry Facility NPI 1497879001

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Monroe, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Monroe, WA (2853 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 WA 7077

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Robert Park , DDS

Dentist - General Practice

NPI 1477639375

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 August 21, 2024

Record deactivated on August 21, 2024

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 17798 147TH ST SE, MONROE, WA 98272 (Tel: 3608050211)

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Updated Business Mailing Address July 08, 2007

Registered at 17798 147TH ST SE, MONROE, WA 98272 (Tel: 3608050211)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN MONSON, DDS

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

Dentist (License #7077 in WA)

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Initial NPI Registration & Enumeration January 02, 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: 1831256668
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 08, 2007
Deactivation Date: August 21, 2024

Mailing Address

17798 147th St Se

Monroe, WA 98272

Phone: 3608050211

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.