IndividualActive
Glenn Stern
NPI 1053401034 · Dentist · Canton, TX
Provider details
- NPI number
- 1053401034
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 20071 (TX)
Specialties & taxonomies
Dental Providers
Practice location
240 E Highway 243
Canton, TX 75103-2315
Phone: (903) 567-4884
Fax: (903) 567-5149
Approximate (ZIP-level) locationGet directions
Mailing address
240 E Highway 243
Canton, TX 75103-2315
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2021-11-05
- Certified
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.