DR. GLENN M. FREDERICK
NPI 1174676589
Dentist - General Practice in Canterbury, CT

Q: What is Glenn Frederick's NPI number?

The NPI number for Glenn Frederick is 1174676589. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Glenn Frederick'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 Frederick 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 January 19, 2007

37 S CANTERBURY RD, CANTERBURY, CT 06331(860) 546-9434 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 Dr. Glenn M. Frederick NPPES

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

DR. GLENN M. FREDERICK (NPI 1174676589) is an individual general practice provider in Canterbury, Connecticut, licensed in Connecticut (5093) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1174676589

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GLENN M. FREDERICK

Location Address37 S CANTERBURY RDCanterbury, CT 06331-1520

Mailing AddressPo Box 487Canterbury, CT 06331-0487 · (860) 608-2334

Phone(860) 546-9434

Sole ProprietorYes

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174676589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CT · 5093

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.

37 S CANTERBURY RD, Canterbury, CT 06331

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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 Frederick's NPI number?

The NPI number for Glenn Frederick is 1174676589. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Glenn Frederick located?

Glenn Frederick practices at 37 S Canterbury Rd, Canterbury, CT 06331. The listed phone number is (860) 546-9434.

What is Glenn Frederick'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 Frederick 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.