DR. DOUGLAS C. GLESMANN D.D.S.
NPI 1124092580
Dentist - General Practice in Troy, MI

Active since February 14, 2006PECOS Enrolled
1777 AXTELL DR, SUITE #207, TROY, MI 48084(248) 649-3116(248) 649-6768 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas C. Glesmann D.d.s. NPPES

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

DR. DOUGLAS C. GLESMANN D.D.S. (NPI 1124092580) is an individual general practice provider in Troy, Michigan, licensed in Michigan (13047) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124092580
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOUGLAS C. GLESMANNCredential: D.D.S.
Location Address1777 AXTELL DR, SUITE #207Troy, MI 48084-4404
Mailing Address1777 Axtell Dr, Suite #207Troy, MI 48084-4404 · (248) 649-3116 · Fax (248) 649-6768
Fax(248) 649-6768
Sole ProprietorYes
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 18, 2008
NPI 1124092580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 13047
Definition
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.
1777 AXTELL DR, Troy, MI 48084

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Douglas C. Glesmann D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1777 AXTELL DR, SUITE 100
TROY, MI 48084
Specialist
1777 AXTELL DR, SUITE 107
TROY, MI 48084
Psychologist
1777 AXTELL DR
TROY, MI 48084
Social Worker (Clinical)
1777 AXTELL DR
TROY, MI 48084
Specialist
1777 AXTELL DR, SUITE 107
TROY, MI 48084
Social Worker (Clinical)
1777 AXTELL DR
TROY, MI 48084
Internal Medicine
1777 AXTELL DR, #109
TROY, MI 48084
Psychologist (Counseling)
1777 AXTELL DR, #100
TROY, MI 48084

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 Douglas Glesmann's NPI number?

The NPI number for Douglas Glesmann is 1124092580. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Douglas Glesmann located?

Douglas Glesmann practices at 1777 Axtell Dr Suite #207, Troy, MI 48084. The listed phone number is (248) 649-3116.

What is Douglas Glesmann's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Douglas Glesmann enrolled in Medicare?

Yes. Douglas Glesmann is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Glesmann accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Douglas Glesmann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Glesmann was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.