Provider Demographics
NPI:1609007186
Name:GLANZ, HELENE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:
Last Name:GLANZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E UNIVERSITY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6814
Mailing Address - Country:US
Mailing Address - Phone:512-864-1445
Mailing Address - Fax:512-864-1447
Practice Address - Street 1:2411 WILLIAMS DR
Practice Address - Street 2:SUITE 111
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-3271
Practice Address - Country:US
Practice Address - Phone:512-864-1445
Practice Address - Fax:512-864-1447
Is Sole Proprietor?:No
Enumeration Date:2009-08-02
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2088528-01Medicaid
TX19002OtherSTATE BOARD LICNESE