MEDICARE: DR. HELENE GLANZ DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19002	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	19002	OTHER	TX	STATE BOARD LICNESE

General Provider Information

NPI Number	:	1609007186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENE GLANZ DDS

Provider Business Mailing Address
First Line	:	205 E UNIVERSITY AVE
Second Line	:	SUITE 200
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-6814
Country	:	US
Telephone Number	:	512-864-1445
Fax Number	:	512-864-1447

Provider Business Practice Location Address
First Line	:	2411 WILLIAMS DR
Second Line	:	SUITE 111
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-3271
Country	:	US
Telephone Number	:	512-864-1445
Fax Number	:	512-864-1447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2009
Last Update Date	:	02/24/2021

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Directions to “ DR. HELENE GLANZ DDS” Practice Location

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