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DR. GLEN SANFORD DAVIS D.M.D.
NPI 1972722585
Dentist - General Practice in Damariscotta, ME

Active since April 24, 2007PECOS Enrolled
16 BRISTOL ROAD, DAMARISCOTTA, ME 04543(207) 563-5203(207) 563-7383 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glen Sanford Davis D.m.d. NPPES

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

DR. GLEN SANFORD DAVIS D.M.D. (NPI 1972722585) is an individual general practice provider in Damariscotta, Maine, licensed in Maine (3205) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972722585
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GLEN SANFORD DAVISCredential: D.M.D.
Location Address16 BRISTOL ROADDamariscotta, ME 04543
Mailing Address16 Bristol Road, P.o. Box 387Damariscotta, ME 04543 · (207) 563-5203 · Fax (207) 563-7383
Phone(207) 563-5203
Fax(207) 563-7383
Sole ProprietorYes
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972722585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 3205
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.
16 BRISTOL ROAD, Damariscotta, ME 04543
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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. Glen Sanford Davis D.m.d. 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 04543 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

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 Davis's NPI number?

The NPI number for Glen Davis is 1972722585. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Glen Davis located?

Glen Davis practices at 16 Bristol Road, Damariscotta, ME 04543. The listed phone number is (207) 563-5203.

What is Glen Davis's specialty?

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

Is Glen Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Glen Davis 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.