Heather Glockle, R.D.H.
Dental Hygienist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1013239359
StatusActive
Last updated in NPPESFeb 26, 2010
Details
- NPI
- 1013239359
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Glockle
- Credential
- R.D.H.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2010
- Last updated
- Feb 26, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H6018 | MN | Yes |
Practice location
636 Broadway St NeMinneapolis, MN 55413-2164
Phone 612-746-1530 · Fax 612-746-1531
Mailing address
636 Broadway St NeMinneapolis, MN 55413-2164
Phone 612-746-1530 · Fax 612-746-1531
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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