Search › Alaska › 204C00000X
Tristan Glenn, DO
NPI 1437882099 · on the registry since 2022
Practice
- Address
- 1919 Lathrop St
Fairbanks, AK 99701 - Phone
- (907) 459-2619
- Fax
- (907) 374-1089
- Organisation at this address
- Otter Dental
Starks Md Llc
Adient Alaska, Llc
Mark T. Kowal Md Pc
Denali Primary CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Additional practice sites
- 315 S Osteopathy Ave, Kirksville, MO
Registry record
- Primary taxonomy
- 204C00000X
204C00000X
- Also registered as
- 204D00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska