IndividualActive
Kenneth Glenn, DDS
NPI 1649854878 · General Practice Dentistry · Fortuna, CA
Kenneth Glenn, DDS is a General Practice Dentistry provider in Fortuna, CA (NPI 1649854878).
Provider details
- NPI number
- 1649854878
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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
3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone: (707) 725-6101
Street-level locationGet directions
Mailing address
11000 Weyburn Dr Apt A723
Los Angeles, CA 90024-2832
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Kenneth Glenn's NPI number?
- Kenneth Glenn's National Provider Identifier (NPI) is 1649854878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Glenn's specialty?
- Kenneth Glenn is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kenneth Glenn located?
- Kenneth Glenn's practice location on file with NPPES is 3750 Rohnerville Rd, Fortuna, CA 95540-3118.
- What is Kenneth Glenn's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Glenn is (707) 725-6101.
- Is Kenneth Glenn's NPI active?
- Yes — Kenneth Glenn's NPI (1649854878) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.