GLENN CLIFFORD BLUM DDS
NPI 1154496289
Dentist - General Practice in Modesto, CA

Q: What is Glenn Blum's NPI number?

The NPI number for Glenn Blum is 1154496289. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Q: What is Glenn Blum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glenn Blum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 22, 2006

1308 CELESTE DR, SUITE B, MODESTO, CA 95355(209) 576-2884(209) 576-2412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Glenn Clifford Blum Dds NPPES

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

GLENN CLIFFORD BLUM DDS (NPI 1154496289) is an individual general practice provider in Modesto, California, licensed in California (29713) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1154496289

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGLENN CLIFFORD BLUMCredential: DDS

Location Address1308 CELESTE DR, SUITE BModesto, CA 95355-2402

Mailing Address1308 Celeste Dr, Suite BModesto, CA 95355-2402 · (209) 576-2884 · Fax (209) 576-2412

Phone(209) 576-2884

Fax(209) 576-2412

Sole ProprietorNo

Enumeration DateNovember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154496289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 29713

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.

1308 CELESTE DR, Modesto, CA 95355

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Other Providers at the Same Location NPPES

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

DR. ROY HIROJI MORITA D.D.S.

Dentist (Periodontics)

1308 CELESTE DR, SUITE A
MODESTO, CA 95355

Stanislaus County (209) 524-6128

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 Glenn Blum's NPI number?

The NPI number for Glenn Blum is 1154496289. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Glenn Blum located?

Glenn Blum practices at 1308 Celeste Dr Suite B, Modesto, CA 95355. The listed phone number is (209) 576-2884.

What is Glenn Blum's specialty?

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

When was this NPI record last updated?

The NPPES record for Glenn Blum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.