GLENN A HARRISON (NPI# 1306897350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306897350 |
| Entity Type | Individual |
| Full Name | GLENN A HARRISON |
| Credential | DDS |
| Practice Address |
2951 West Front Street Suite 3800 Richlands VA 24641 |
| Practice Telephone | 2769649109 |
| Practice Fax Number | 2769637205 |
| Mailing Telephone | 2769649109 |
| Mailing Fax Number | 2769637205 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6836 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS | 059572 | 01 |
| UMWA | 1350032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316076946 | Glenn Alden Harrison | Internal Medicine | 3319 N Elston Ave, Suite 100, Chicago, IL 60618-5811 | 2007-03-02 |
| Street Address |
2951 WEST FRONT STREET SUITE 3800 |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326757 | Rolando M Chavez | Urology | 2951 West Front Street, Suite 1800, Richlands, VA 24641 | 2005-09-12 |
| 1275865834 | Glenn A. Harrison, P.C. | Dentist | 2951 West Front Street, Suite 3800, Richlands, VA 24641 | 2010-02-08 |
| 1588766596 | Emile I Khuri | Surgery | 2951 West Front Street, Suite 1400, Richlands, VA 24641 | 2006-09-01 |
| 1427092642 | Clinch Valley Endocrinology LLC | Internal Medicine | 2951 West Front Street, Suite 2600, Richlands, VA 24641 | 2006-06-16 |
| 1306835673 | Clinch Valley Pulmonology LLC | Internal Medicine | 2951 West Front Street, Suite 1000, Richlands, VA 24641 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275865834 | Glenn A. Harrison, P.C. | Dentist | 2951 West Front Street, Suite 3800, Richlands, VA 24641 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
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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.