Glen D Middaugh is a Terre Haute, Indiana based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Glen D Middaugh is
12010393 for Dentistry in Indiana. His current practice location is
2801 Anton Road, Terre Haute. Patients can reach him at
812-877-6724.
Glen D Middaugh is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Glen D Middaugh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Glen D Middaugh |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2801 Anton Road, Terre Haute,
Indiana, 47803 |
| Phone: | 812-877-6724 |
| Fax: | 812-877-6150 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053316901 |
| NPI Enumeration Date: | 16 Jun, 2005 |
| NPI Last Update On: | 18 Nov, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glen D Middaugh are as mentioned below.
| License Number | Specialization | State | Status | |
| 12010393 | Dentistry | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Glen D Middaugh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200415160A | Medicaid | Indiana | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2801 Anton Road,
Terre Haute, Indiana |
| Zip: | 47803 |
| Phone Number: | 812-877-6724 |
| Fax Number: | 812-877-6150 |
Patients can reach Glen D Middaugh at
2801 Anton Road, Terre Haute, Indiana or can
call to book an appointment on 812-877-6724.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.