Individual
DR. GLENN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3703 N KICKAPOO AVE, SHAWNEE, OK 74804-1703
(405) 275-0640
(405) 275-1502
Mailing address
3703 N KICKAPOO AVE, SHAWNEE, OK 74804-1703
(405) 275-0640
(405) 275-1502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3839
OK
Other
Enumeration date
06/06/2006
Last updated
07/13/2026
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