DR. GLEN C YOUNG (NPI# 1023214368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023214368 |
| Entity Type | Individual |
| Full Name | DR. GLEN C YOUNG |
| Credential | DDS |
| Practice Address |
1834 Clement St San Francisco CA 94121-2207 |
| Practice Telephone | 4157523477 |
| Practice Fax Number | 4157522358 |
| Mailing Telephone | 4157523477 |
| Mailing Fax Number | 4157522358 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
032787 | CA | Dental Providers |
| Street Address |
1834 CLEMENT ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180331 | Siyouneh Novshadian | Dentist | 999 Sutter St # 11, San Francisco, CA 94109-6023 | 2019-12-09 |
| 1881189736 | Allan Yuanshan Wang | Dentist | 2480 Mission St Ste 323-324, San Francisco, CA 94110-2468 | 2018-06-24 |
| 1356842637 | Alice Goodwin | Dentist | 1825 4th St # 5b, San Francisco, CA 94143-2350 | 2018-02-22 |
| 1912456286 | Melissa Chin | Dentist | 2000 Van Ness Ave Ste 202, San Francisco, CA 94109-3021 | 2016-09-28 |
| 1144673450 | Stephan Suksong Yoon | Dentist | 1373 17th Ave, San Francisco, CA 94122-1912 | 2016-07-21 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1598156788 | Van H Tran | Dentist | 690 33rd Ave, Apt #204, San Francisco, CA 94121-2760 | 2015-02-10 |
| 1548679319 | Matthew Cozin | Dentist | 1026 Noriega St, San Francisco, CA 94122-4514 | 2014-08-06 |
| 1912250176 | Kjeld Aamodt | Dentist | 999 Sutter Street, Suite 207, San Francisco, CA 94109 | 2012-10-24 |
| 1639429939 | Emerald Nguyen | Dentist | 707 Parnassus Ave # D-3030, San Francisco, CA 94143-2210 | 2012-09-13 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.