GLEN ROYDEN DEAN (NPI# 1275696114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275696114 |
| Entity Type | Individual |
| Full Name | GLEN ROYDEN DEAN |
| Credential | DDS MS |
| Practice Address |
2552 F Rd Grand Junction CO 81505-1422 |
| Practice Telephone | 9702411313 |
| Practice Fax Number | 9702415202 |
| Mailing Telephone | 9702411313 |
| Mailing Fax Number | 9702415202 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1356539922 | UT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
104423 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02044238 | 05 | |
| DRUG ENFORCEMENT ADMIN US | AD8713807 | 01 |
| Street Address |
2552 F RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639452154 | Sharina Lynn Simpson | Dental Hygienist | 2552 F Rd, Grand Junction, CO 81505-1422 | 2011-09-21 |
| 1104109719 | Terrill A Graden | Dental Hygienist | 2552 F Rd, Grand Junction, CO 81505-1422 | 2011-09-21 |
| 1164738365 | Grant W Butler | Dentist | 2552 F Rd, Grand Junction, CO 81505-1422 | 2010-08-25 |
| 1275795106 | Oral Health Partners, Professional LLC | Dentist | 2552 F Rd, Grand Junction, CO 81505-1422 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407116825 | Pediatric Dental Specialists of Western Colorado | Dentist | 2040 Paint Pony Ln, Grand Junction, CO 81507-8756 | 2012-05-18 |
| 1962502120 | Glen R Dean Dds PC | Dentist | 2525 North 8th Street, Suite 105, Grand Junction, CO 81501-8258 | 2006-09-25 |
| 1720078058 | John William Bull | Dentist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2005-10-27 |
| 1518340694 | Ruby Canyon Dental Group, PC | Dentist | 2552 Patterson Rd, Grand Junction, CO 81505-1423 | 2015-07-07 |
| 1154681575 | Jeremy S Cox | Dentist | 2040 Paint Pony Ln, Grand Junction, CO 81507-8756 | 2012-05-18 |
| 1467718155 | Fun At The Dentist Professional LLC | Dentist | 2525 N 8th St, Suite 105, Grand Junction, CO 81501-8845 | 2012-04-06 |
| 1871756304 | Kathryn Lynn Hart | Dentist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2008-07-03 |
| 1083614788 | David P Noffsinger | Dentist | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
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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.