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DR. ELLIOTT DANIEL GLENN DDS
NPI 1942793104
Dentist - Endodontics in Milwaukee, WI

Active since June 12, 2018Opted out of Medicare · through Jan 5, 2028
10401 W LINCOLN AVE, MILWAUKEE, WI 53227(414) 546-1900(414) 546-1901 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Aug 8, 2018, Jun 12, 2018 (3 updates tracked since 2018).

About Dr. Elliott Daniel Glenn Dds NPPES

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

DR. ELLIOTT DANIEL GLENN DDS (NPI 1942793104) is an individual endodontics provider in Milwaukee, Wisconsin, licensed in Wisconsin (100226515) and active in the NPI registry since June 2018. He has opted out of Medicare through January 5, 2028.

NPPES Registry Identity

NPI1942793104
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. ELLIOTT DANIEL GLENNCredential: DDS
Location Address10401 W LINCOLN AVEMilwaukee, WI 53227-1255
Mailing Address10401 W Lincoln AveMilwaukee, WI 53227-1255 · (414) 546-1900 · Fax (414) 546-1901
Phone(414) 546-1900
Fax(414) 546-1901
Sole ProprietorNo
Enumeration DateJune 12, 2018
Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1942793104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in WI · 100226515✔ Licensed in IA · DDS-09873
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RES-30529 (IA)
10401 W LINCOLN AVE, Milwaukee, WI 53227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elliott Daniel Glenn Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2022 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2022
Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

DR. RONALD HOWARD VERHULST DDS
Dentist (General Practice)
10401 W LINCOLN AVE, 102
WEST ALLIS, WI 53227
Milwaukee County (414) 546-3151
DAVID W BELARDI D.D.S.
Dentist (Endodontics)
10401 W LINCOLN AVE, STE. 104
MILWAUKEE, WI 53227
Milwaukee County (414) 546-1900
DR. BARRY R. FRANZEN D.D.S.
Dentist (Prosthodontics)
10401 W LINCOLN AVE, SUITE 105
WEST ALLIS, WI 53227
Milwaukee County (414) 543-5432
DR. JAMES R. MAURIN DDS SC
Dentist (General Practice)
10401 W LINCOLN AVE, STE. 204
WEST ALLIS, WI 53227
Milwaukee County (414) 545-5380
DR. LAURA MERCEDES SOCIAS D.D.S.
Dentist
10401 W LINCOLN AVE, SUITE 204
WEST ALLIS, WI 53227
Milwaukee County (414) 545-5380
DR. DANIEL R. HELLMAN M.D.
Anesthesiology
10401 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 321-7850
ANTHONY L RAGONESE DDS
Dentist (Oral and Maxillofacial Surgery)
10401 W LINCOLN AVE, SUITE 101 ORAL SURGERY ASSOCIATES OF SE WISCONSIN
WEST ALLIS, WI 53227
Milwaukee County (414) 327-4130
WISCONSIN ORAL SURGERY & DENTAL IMPLANTS, S.C.
Dentist (Oral and Maxillofacial Surgery)
10401 W LINCOLN AVE, SUITE 101
WEST ALLIS, WI 53227
Milwaukee County (414) 327-4130

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 Elliott Glenn's NPI number?

The NPI number for Elliott Glenn is 1942793104. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Elliott Glenn located?

Elliott Glenn practices at 10401 W Lincoln Ave, Milwaukee, WI 53227. The listed phone number is (414) 546-1900.

What is Elliott Glenn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Elliott Glenn enrolled in Medicare?

No. Elliott Glenn has opted out of Medicare through January 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Elliott Glenn accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Elliott Glenn 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 Elliott Glenn was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.