Glenn Losasso, D.D.S
Dentist in Indian Harbour Beach, FL. Individual provider (NPI-1).
NPI number1649684697
StatusActive
Last updated in NPPESJun 18, 2014
Details
- NPI
- 1649684697
- Entity type
- Individual (NPI-1)
- Name
- Glenn Losasso
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2014
- Last updated
- Jun 18, 2014
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 |
|---|---|---|---|---|
| 122300000X | Dentist | DN10790 | FL | Yes |
Practice location
2020 Highway A1aSuite 105
Indian Harbour Beach, FL 32937-3581
Phone 321-777-8225
Mailing address
2020 Highway A1aSuite 105
Indian Harbour Beach, FL 32937-3581
Phone 321-777-8225
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