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PETER GLETZAKOS DMD
NPI 1669581369
Dentist in Portland, CT

Active since August 29, 2006PECOS Enrolled
595 MAIN STREET, PORTLAND, CT 06480(860) 342-4502(860) 342-5474 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Gletzakos Dmd NPPES

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

PETER GLETZAKOS DMD (NPI 1669581369) is an individual dentist in Portland, Connecticut, licensed in Connecticut (8252) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669581369
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePETER GLETZAKOSCredential: DMD
Location Address595 MAIN STREETPortland, CT 06480-1156
Mailing Address595 Main StreetPortland, CT 06480-1156 · (860) 342-4502 · Fax (860) 342-5474
Phone(860) 342-4502
Fax(860) 342-5474
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669581369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 8252
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
595 MAIN STREET, Portland, CT 06480
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Peter Gletzakos Dmd 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 06480 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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

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

PORTLAND DENTAL CARE LLC
Dentist
595 MAIN STREET
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 342-4502

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 Peter Gletzakos's NPI number?

The NPI number for Peter Gletzakos is 1669581369. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Peter Gletzakos located?

Peter Gletzakos practices at 595 Main Street, Portland, CT 06480. The listed phone number is (860) 342-4502.

What is Peter Gletzakos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Peter Gletzakos enrolled in Medicare?

Yes. Peter Gletzakos is registered in the Medicare PECOS enrollment system.

What insurance does Peter Gletzakos accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Peter Gletzakos 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 Peter Gletzakos 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.