IndividualActive
Glenn Frederick
NPI 1174676589 · General Practice Dentistry · Canterbury, CT
Glenn Frederick is a General Practice Dentistry provider in Canterbury, CT (NPI 1174676589).
Provider details
- NPI number
- 1174676589
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5093 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
37 S Canterbury Rd
Canterbury, CT 06331-1520
Phone: (860) 546-9434
Street-level locationGet directions
Mailing address
Po Box 487
Canterbury, CT 06331-0487
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glenn Frederick's NPI number?
- Glenn Frederick's National Provider Identifier (NPI) is 1174676589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Frederick's specialty?
- Glenn Frederick is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Glenn Frederick located?
- Glenn Frederick's practice location on file with NPPES is 37 S Canterbury Rd, Canterbury, CT 06331-1520.
- What is Glenn Frederick's phone number?
- The practice phone number listed in the NPPES registry for Glenn Frederick is (860) 546-9434.
- Is Glenn Frederick's NPI active?
- Yes — Glenn Frederick's NPI (1174676589) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.