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MR. GLEN MARTIN O'MALLEY D.D.S., S.C.
NPI 1205090537
Dentist - General Practice in Greenfield, WI

Active since July 16, 2008
8555 W FOREST HOME AVE, GREENFIELD, WI 53228(414) 425-4005(414) 529-9777 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Glen Martin O'malley D.d.s., S.c. NPPES

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

MR. GLEN MARTIN O'MALLEY D.D.S., S.C. (NPI 1205090537) is an individual general practice provider in Greenfield, Wisconsin, licensed in Wisconsin (3802) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1205090537
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. GLEN MARTIN O'MALLEYCredential: D.D.S., S.C.
Location Address8555 W FOREST HOME AVEGreenfield, WI 53228-3408
Mailing Address8555 W Forest Home AveGreenfield, WI 53228-3408 · (414) 425-4005 · Fax (414) 529-9777
Phone(414) 425-4005
Fax(414) 529-9777
Sole ProprietorYes
Enumeration DateJuly 16, 2008
✔ NPI 1205090537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 3802
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.
8555 W FOREST HOME AVE, Greenfield, WI 53228
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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 Glen O'malley's NPI number?

The NPI number for Glen O'malley is 1205090537. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Glen O'malley located?

Glen O'malley practices at 8555 W Forest Home Ave, Greenfield, WI 53228. The listed phone number is (414) 425-4005.

What is Glen O'malley'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 Glen O'malley was last updated on July 16, 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.