GLEN ROSE FAMILY DENTAL
NPI 1003351271
Preferred Provider Organization in Glen Rose, TX

Active since December 27, 2016
1104 BLUEBONNET ST, GLEN ROSE, TX 76043(254) 898-4646(254) 897-7321 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Rose Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN ROSE FAMILY DENTAL (NPI 1003351271) is a healthcare organization registered as a preferred provider organization in Glen Rose, Texas and active in the NPI registry since December 2016. The organization lists Clayton K Cook, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1003351271
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameGLEN ROSE FAMILY DENTAL
Location Address1104 BLUEBONNET STGlen Rose, TX 76043-5013
Mailing Address1104 Bluebonnet StGlen Rose, TX 76043-5013 · (254) 898-4646 · Fax (254) 897-7321
Fax(254) 897-7321
Organization SubpartNo
Authorized OfficialClayton K CookGeneral Dentist · (254) 898-4646
Enumeration DateDecember 27, 2016
NPI 1003351271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in TX · 29154
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1104 BLUEBONNET ST, Glen Rose, TX 76043

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1104 BLUEBONNET ST
GLEN ROSE, TX 76043
Dentist (General Practice)
1104 BLUEBONNET ST
GLEN ROSE, TX 76043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Rose Family Dental's NPI number?

The NPI number for Glen Rose Family Dental is 1003351271. It was assigned to this organization in the NPPES registry on December 27, 2016.

Where is Glen Rose Family Dental located?

Glen Rose Family Dental is located at 1104 Bluebonnet St, Glen Rose, TX 76043. The listed phone number is (254) 898-4646.

What is Glen Rose Family Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Glen Rose Family Dental was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.