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

Ethan Christopher Glock

Individual provider Dental Assistant · NPI 1962086827

Ethan Christopher Glock is a Dental Assistant in Fort Carson, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1667 Cochrane Cir Bldg 7495
Fort Carson, CO 80913-4603
Phone: (719) 526-5537
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1962086827
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing address1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603

Other providers in Fort Carson