Kenneth Glenn, DDS
Kenneth Glenn, DDS is a Student in an Organized Health Care Education/Training Program in Fortuna, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
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.
Practice location Address checks out
3750 Rohnerville RdFortuna, CA 95540-3118
Phone: (707) 725-6101
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 109463 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1649854878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | No |
| NPI enumerated | May 12, 2021 |
| Last updated in NPPES | March 14, 2025 |
| Certification date | March 14, 2025 |
| Mailing address | 11000 Weyburn Dr Apt A723, Los Angeles, CA 90024-2832 |
Other providers in Fortuna
-
Angelina Maria Carretero
1001 Lawndale Dr Apt 10, Fortuna, CA 95540-2827 · (707) 393-1377
-
Dr. Arlene Teana Zakia Moore Younan, DMD
3750 Rohnerville Rd, Fortuna, CA 95540 · (707) 617-2555
-
Dr. Caitlin Mullins, MD
3750 Rohnerville Rd, Fortuna, CA 95540-3118 · (707) 725-4477