E. GLENN GLASSMAN D.D.S. PC DBA ORTHOCARE SYSTEMS (NPI# 1417174954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417174954 |
| Entity Type | Organization |
| Organization Name | E. GLENN GLASSMAN D.D.S. PC DBA ORTHOCARE SYSTEMS |
| Practice Address |
10413 W Florissant Ave Saint Louis MO 63136-2342 |
| Mailing Address |
709 S 5th St Saint Charles MO 63301-2913 |
| Practice Telephone | 3145248686 |
| Practice Fax Number | 3145245403 |
| Mailing Telephone | 6367570770 |
| Mailing Fax Number | 6367570773 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELLIOT GLENN GLASSMAN (OWNER) |
| Authorized Official Telephone | 6367570770 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
013277 | MO | Dental Providers |
| Street Address |
10413 W FLORISSANT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| 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 |
|---|---|---|---|---|
| 1699281121 | St Louis South Orthodontics | Dentist | 9911 Kennerly Rd Ste H, Saint Louis, MO 63128-2700 | 2017-12-20 |
| 1023556743 | Mark Humphrey | Dentist | 8657 Old Bonhomme Rd, Saint Louis, MO 63132-3901 | 2017-02-01 |
| 1730434192 | Nefeli Vasilakou | Dentist | 3320 Rutger Street, Saint Louis, MO 63104 | 2012-07-20 |
| 1306115647 | Edward J Shaheen Jr. | Dentist | 10363 Clayton Rd, Saint Louis, MO 63131-2907 | 2011-12-15 |
| 1053538504 | E. Glenn Glassman, D.d.s. PC Dba Orthocare Systems | Dentist | 6925 S Lindbergh Blvd, Saint Louis, MO 63125-4220 | 2007-04-19 |
| 1700909991 | Stephen Gerard Nikodem | Dentist | 4116 Von Talge Rd Ste A, Saint Louis, MO 63128-1957 | 2007-04-10 |
| 1295873214 | Heidi Marie Butts | Dentist | 8760 Big Bend Blvd, Saint Louis, MO 63119-3730 | 2007-02-02 |
| 1497838163 | Debra F Fink | Dentist | 13302 Manchester Rd, Saint Louis, MO 63131-1709 | 2006-10-24 |
| 1093810202 | Mazyar Moshiri | Dentist | 777 S. New Ballas Road, Suite 116e, Saint Louis, MO 63141 | 2006-09-13 |
| 1215046008 | Richard James Nissen | Dentist | 31 The Boulevard-st. Louis, Saint Louis, MO 63117 | 2006-08-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
Please comment or provide details below to improve the information on E. GLENN GLASSMAN D.D.S. PC DBA ORTHOCARE SYSTEMS.
| 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.