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

DR. GLENN DAVIS D.D.S.
NPI 1437198017
Dentist - General Practice in Shawnee, OK

Active since June 06, 2006PECOS Enrolled
3703 N KICKAPOO AVE, SHAWNEE, OK 74804(405) 275-0640(405) 275-1502 Get Directions Write a Review

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

About Dr. Glenn Davis D.d.s. NPPES

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

DR. GLENN DAVIS D.D.S. (NPI 1437198017) is an individual general practice provider in Shawnee, Oklahoma, licensed in Oklahoma (3839) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437198017
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLENN DAVISCredential: D.D.S.
Location Address3703 N KICKAPOO AVEShawnee, OK 74804-1703
Mailing Address3703 N Kickapoo AveShawnee, OK 74804-1703 · (405) 275-0640 · Fax (405) 275-1502
Fax(405) 275-1502
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1437198017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 3839
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.
3703 N KICKAPOO AVE, Shawnee, OK 74804

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. Glenn Davis 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 74804 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 4

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

Dentist
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Dentist
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804

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 Davis's NPI number?

The NPI number for Glenn Davis is 1437198017. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Glenn Davis located?

Glenn Davis practices at 3703 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 275-0640.

What is Glenn Davis's specialty?

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

Is Glenn Davis enrolled in Medicare?

Yes. Glenn Davis is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Glenn Davis 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 Glenn Davis 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 25 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.