npidexNPI registry + Medicare data

ANDREW GLENN, DDS, MD

Oral & Maxillofacial Surgery (D.M.D.) · LINCOLN, NE

Individual Active Opted out of Medicare NPI 1619997707

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X✓23254NE
Oral and Maxillofacial Surgery (Dentist)1223S0112X6467NE

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2017-04-10 through 2027-04-10.

Other Oral & Maxillofacial Surgery (D.M.D.) providers in Nebraska

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.