Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen M Shimshak, DMD

Individual provider General Practice Dentistry · NPI 1205948130

Dr. Glen M Shimshak, DMD is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

511 SW 10th #1008
Portland, OR 97205
Phone: (503) 223-2442
Fax: (503) 223-9447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4978 (OR)

Record details

NPI number1205948130
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Portland