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

Dr. Glenn Stephen Roeder, DDS

Individual provider Periodontics · NPI 1164572939

Dr. Glenn Stephen Roeder, DDS is a Periodontics in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

230 N Maryland Ave
Glendale, CA 91206-4261
Phone: (310) 739-5579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 30624 (CA)

Record details

NPI number1164572939
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESApril 1, 2009
Mailing addressPo Box 67827, Los Angeles, CA 90067-2806

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