GLEN MITCHELL (NPI# 1073694063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073694063 |
| Entity Type | Individual |
| Full Name | GLEN MITCHELL |
| Credential | DDS |
| Practice Address |
2010 Central Ave Dodge City KS 67801-6422 |
| Practice Telephone | 6202273281 |
| Mailing Telephone | 6202273281 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | KS4011 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376648055 | Glen B Mitchell | Dentist | 7000 W Palmetto Park Rd, Suite 504, Boca Raton, FL 33433-3424 | 2006-09-14 |
| 1437139565 | Glen Mitchell | Physician Assistant | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2006-01-17 |
| Street Address |
2010 CENTRAL AVE |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124795 | Jacquelyn S Kemmerer | Nurse Practitioner | 2010 Central Ave, Dodge City, KS 67801-6442 | 2005-06-20 |
| 1518297803 | Dodge City Womens Health Clinic Inc | Clinic/Center | 2010 Central Ave, Dodge City, KS 67801-6442 | 2010-01-08 |
| 1295993418 | Great Plains Vision LLC | Optometrist | 2010 Central Ave, Dodge City, KS 67801-6442 | 2008-05-23 |
| 1649202284 | Laurie B White | Optometrist | 2010 Central Ave, Dodge City, KS 67801-6422 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1477621159 | Dodge City Dental Care | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| Find all providers in zip 67801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960452 | Nuvia Jeanette Lemus-diaz | Dentist | 2001 Central Ave, Dodge City, KS 67801-6410 | 2020-07-24 |
| 1417565136 | Sophia Maria Alonso Dowling | Dentist | 2300 N 14th Ave Ste 202, Dodge City, KS 67801-2367 | 2020-07-20 |
| 1558744482 | Shanzong Chen | Dentist | 2011 Central Ave, Dodge City, KS 67801-6410 | 2015-07-09 |
| 1578944880 | Katie Asbjornson | Dentist | 105 Layton St, Dodge City, KS 67801-2444 | 2015-06-11 |
| 1255626628 | Ryan Paul Lehmkuhler | Dentist | 100 W Ross Blvd, Suite 2c, Dodge City, KS 67801-7216 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982759 | Brendan Daugherty | Dentist | 10040 Woodland Dr, Lenexa, KS 66220-3802 | 2020-08-12 |
| 1477164705 | Christopher Taylor Lippold | Dentist | 10 E 9th St Ste C, Lawrence, KS 66044-2600 | 2020-08-11 |
| 1164032090 | Brett Taylor Lyman | Dentist | 2215 Broadway Ave, Great Bend, KS 67530-3917 | 2020-08-05 |
| 1841809449 | Kailah Marie Willms | Dentist | 4111 W 6th St, Lawrence, KS 66049-4609 | 2020-07-29 |
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1487262283 | Austin Rickabaugh | Dentist | 8911 State Ave, Kansas City, KS 66112-1645 | 2020-07-17 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1225652332 | Jasmyn Christine Thole | Dentist | 401 S Clairborne Rd Ste A, Olathe, KS 66062-1735 | 2020-06-04 |
| 1861014367 | Smile Craft Dental, LLC | Dentist | 5315 E 21st St N Ste 104, Wichita, KS 67208-1600 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
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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.