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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. GLENN MARTIN SANNICOLAS II HEALTH SERVICES TECH
NPI 1417934118
Technician, Other in Washington, DC

Active since December 23, 2005
COMDT (CG-1122), 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593(252) 335-6521(252) 335-6255 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Glenn Martin Sannicolas Ii Health Services Tech NPPES

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

MR. GLENN MARTIN SANNICOLAS II HEALTH SERVICES TECH (NPI 1417934118) is an individual technician, other provider in Washington, District Of Columbia and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1417934118
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameMR. GLENN MARTIN SANNICOLAS IICredential: HEALTH SERVICES TECH
Location AddressCOMDT (CG-1122), 2100 2ND ST SW, SUITE 5314Washington, DC 20593-0001
Mailing AddressComdt (cg-1122), 2100 2nd St Sw, Suite 5314Washington, DC 20593-0001 · (252) 335-6521 · Fax (252) 335-6255
Phone(252) 335-6521
Fax(252) 335-6255
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417934118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
COMDT (CG-1122), Washington, DC 20593
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Other Providers at the Same Location NPPES 11

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

DANIEL HASENFANG RPH
Pharmacist
COMDT (CG-1122), 2100 2ND STREET SW ROOM 5314
WASHINGTON, DC 20593
District of Columbia (609) 898-6863
DR. LOUIS JOSEPH MARCHIORI III DDS
Dentist (General Practice)
COMDT (CG-1122), 2100 2ND STREET, S.W. SUITE 5314
WASHINGTON, DC 20593
District of Columbia (202) 267-0801
MR. BENJAMIN WILLIAM BELLUCCI IDMT, NREMT
Technician, Other
COMDT (CG-1122), US COAST GUARD 2100 2ND ST SW SUITE 5314
WASHINGTON, DC 20593
District of Columbia (585) 919-6602
JERRY L LANCASTER JR.
Technician, Other
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
District of Columbia (757) 483-8596
MS. ANNA MARIE BARBERA RDH, BS
Dental Hygienist
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND ST. SW, SUITE 5314
WASHINGTON, DC 20593
District of Columbia (202) 267-0801
JENNIFER SUSAN COMBS RDH
Dental Hygienist
COMDT (CG-1122), U S COAST GUARD, 2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
District of Columbia (609) 989-6960
CARLOS RUIZ HS
Technician, Other
COMDT (CG-1122), 2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
District of Columbia (202) 267-0801
MS. PAMELA STEWART-KUHN RPH
Pharmacist
COMDT (CG-1122), 2100 2ND ST SW ROOM 5314
WASHINGTON, DC 20593
District of Columbia (202) 267-0694

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 Sannicolas's NPI number?

The NPI number for Glenn Sannicolas is 1417934118. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Glenn Sannicolas located?

Glenn Sannicolas practices at Comdt (cg-1122) 2100 2nd St SW, Suite 5314, Washington, DC 20593. The listed phone number is (252) 335-6521.

What is Glenn Sannicolas's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Glenn Sannicolas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.