DR. GLEN C MCINTOSH


Address: 3400 Mcclure Bridge Rd, Building G, Suite B, Duluth, GA 30096-6675
Phone: 7704768576

DR. GLEN C MCINTOSH (NPI# 1285793372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285793372
Entity Type Individual
Full Name DR. GLEN C MCINTOSH
Credential D.D.S.
Practice Address 3400 Mcclure Bridge Rd
Building G, Suite B
Duluth
GA 30096-6675
Practice Telephone 7704768576
Practice Fax Number 7706239714
Mailing Telephone 7704768576
Mailing Fax Number 7706239714
Enumeration Date 2006-12-06
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
DN009756 GA Dental Providers

Office Location

Street Address 3400 MCCLURE BRIDGE RD
BUILDING G, SUITE B
City DULUTH
State GA
Zip Code 30096-6675

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912903485 Philip R Kennedy Psychiatry & Neurology 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 2005-06-21
1063860740 Alpha Recovery Group Inc Health Maintenance Organization 3400 Mcclure Bridge Rd, Building C, Suit A&b, Duluth, GA 30096-6675 2016-06-02
1679960884 Allys Sernior Services, Inc. Health Maintenance Organization 3400 Mcclure Bridge Rd, Building C-301, Duluth, GA 30096-6675 2015-04-26
1972889491 Hand To Shoulder Therapy Specialists of Duluth Occupational Therapist 3400 Mcclure Bridge Rd, F601, Duluth, GA 30096-6675 2011-10-28
1154586667 Mbs Connection LLC Clinic/Center 3400 Mcclure Bridge Rd, Bldg F, Ste A, Duluth, GA 30096-6675 2008-07-24
1164614608 Community Neurological Clinic Specialist 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 2007-08-17
1871688317 James Clinton Cronan Jr. Plastic Surgery 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 2006-10-03
1902818032 Michelle Morante Physician Assistant 3400 Mcclure Bridge Rd, Building B, Duluth, GA 30096-6675 2006-08-13
1578574455 Choice Chiropractic and Wellness, Inc. Chiropractor 3400 Mcclure Bridge Rd, Building B, Suite C, Duluth, GA 30096-6675 2006-08-10
1417977885 Surgical Assistants of America, Inc. Physician Assistant 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 2006-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740375500 William D Campbell Dentist 1818 Warm Springs Rd, Columbus, GA 31904 2006-10-04
1891880720 William H. Wall Dentist 5139 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-1638 2006-10-04
1366546376 Zoya B Kurago Dentist 1120 15th St Dept Of, Augusta, GA 30912 2006-09-11
1235248170 Robert M Lazerson Dentist 3020 Roswell Rd, Suite 110, Marietta, GA 30062-4996 2006-08-30
1811000268 William Paisley Hines Dentist 1587 Vernon Rd, Lagrange, GA 30240-4146 2006-08-17
1245267749 Joel Martin Adler Dentist Joel M. Adler, Dds, 2677 Ridge Valley Rd Nw, Atlanta, GA 30327 2006-06-28
1780649202 Stephanie Joy Drew Dentist 1365 Clifton Rd Ne Ste 2300, Atlanta, GA 30322-4405 2006-04-18
1023016748 Michael Alan Kahn Dentist 2701 N. Decatur Rd., Decatur, GA 30033-5918 2005-07-08
1629073465 Eric D Ferrara Dentist 614 S 8th St, Griffin, GA 30224-4214 2005-06-17
1457853210 Pda Specialty of Georgia, LLC Dentist 3466 Cobb Pkwy Nw Ste 170, Acworth, GA 30101-5768 2018-03-07
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Competitor

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City DULUTH
Zip Code 30096

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Dataset Information

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.

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