DR. GLENN CARL DUBROC JR. (NPI# 1114951001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114951001 |
| Entity Type | Individual |
| Full Name | DR. GLENN CARL DUBROC JR. |
| Credential | DDS |
| Practice Address |
145 Robert E Lee Blvd Suite 404 New Orleans LA 70124-2552 |
| Practice Telephone | 5042838873 |
| Mailing Telephone | 5042838873 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
LA4420 | LA | Dental Providers |
| Street Address |
145 ROBERT E LEE BLVD SUITE 404 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70124-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273152 | Mary P. Lupo | Dermatology | 145 Robert E Lee Blvd, Ste 302, New Orleans, LA 70124-2593 | 2005-05-30 |
| 1356714604 | Bianchini Brennan Lewis | Psychologist | 145 Robert E Lee Blvd, Ste 300, New Orleans, LA 70124-2552 | 2015-11-09 |
| 1518111418 | New Horizon Oncology Center, LLC | Internal Medicine | 145 Robert E Lee Blvd, New Orleans, LA 70124-2552 | 2008-11-05 |
| 1346449949 | Mary L. Puissegur Lupo | Dermatology | 145 Robert E Lee Blvd, Suite 302, New Orleans, LA 70124-2552 | 2007-07-13 |
| 1396827531 | Kim E. Vangeffen | Clinical Neuropsychologist | 145 Robert E Lee Blvd, Suite 306, New Orleans, LA 70124-2552 | 2006-10-19 |
| 1477668168 | Joseph Sampognaro IIi | Internal Medicine | 145 Robert E Lee Blvd, Ste. 402, New Orleans, LA 70124-2552 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959609 | Kalli Jean Mcgrievy | Registered Nurse | 300 Lake Marina Ave, #14be, New Orleans, LA 70124 | 2020-03-31 |
| 1336797703 | Vanessa Batiste-leal | Case Manager/Care Coordinator | 827 S. Causeway Blvd, Suite 206, Metairie, LA 70124 | 2019-08-29 |
| 1215592571 | Laura M Hernandez | Counselor | 6270 Canal Blvd., New Orleans, LA 70124 | 2019-05-02 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1881091643 | Charbonnet Health LLC | Pharmacy | 7211 Regent St., New Orleans, LA 70124 | 2014-11-21 |
| 1659790871 | Randy Michael Rossignol | Internal Medicine | 100 W. Harrison Ave. Ste. 101, Suite 101, New Orleans, LA 70124 | 2014-04-15 |
| 1457699019 | Lakeview Vision Source, LLC | Optometrist | 222 Harrison Avenue, New Orleans, LA 70124 | 2013-01-16 |
| 1376890319 | Ingrid Theresa Duffy | Nurse Practitioner | 928 Hidalgo St, New Orleans, LA 70124 | 2012-08-09 |
| 1053554840 | Lindsay Elise Ford | Internal Medicine | 7030 Canal Blvd, 2nd Floor, New Orleans, LA 70124 | 2009-04-09 |
| 1407010440 | Stephen J Delahoussaye | Dentist | 7037 Canal Blvd Suite 210, New Orleans, LA 70124 | 2008-07-17 |
| Find all providers in zip 70124 | ||||
| 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 |
|---|---|---|---|---|
| 1689108664 | Matthew Oubre | Dentist | 3600 Dumaine St, New Orleans, LA 70119-3810 | 2017-04-17 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1124466628 | Merrell Irby Frampton | Dentist | 6100 Ponchartrain Blvd., Ste. 202, New Orleans, LA 70124-7011 | 2013-06-06 |
| 1114291846 | Lydia Toso | Dentist | 1502 Calhoun St, New Orleans, LA 70118-6136 | 2012-02-27 |
| 1003943788 | Marshall Ivan Gottsegen | Dentist | 3424 Coliseum St, New Orleans, LA 70115-2427 | 2007-02-28 |
| 1902967300 | Alvin James Smith Jr. | Dentist | 4520 Elysian Fields Ave, New Orleans, LA 70122-3826 | 2006-12-12 |
| 1679669097 | John Nolan Jr. | Dentist | 3648 General Degaulle Dr, New Orleans, LA 70114-6717 | 2006-10-04 |
| 1487007118 | Randy Simon Roth | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2016-07-18 |
| 1780975318 | Mohni Malik | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2714 | 2011-04-30 |
| 1154570257 | Rhonda Leeann Sandlin Evans | Dentist | 5700 Citrus Blvd, Suite C, New Orleans, LA 70123-5813 | 2008-09-12 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70124 |
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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.