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

Shelby Blade Glenn, DDS

Individual provider Dentist · NPI 1760166946

Shelby Blade Glenn, DDS is a Dentist in Smithville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
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.

See every abbreviation used in this directory →

Practice location Address checks out

15700 N US Highway 169 Ste C-2
Smithville, MO 64089-9183
Phone: (816) 343-9100
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2023021093 (MO)

Record details

NPI number1760166946
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address4613 Nw Klamm Rd, Riverside, MO 64150-9750