DR. GREGORY L GLADE (NPI# 1548367600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548367600 |
| Entity Type | Individual |
| Full Name | DR. GREGORY L GLADE |
| Credential | DMD |
| Practice Address |
308 11th Street North Port Byron IL 61275-9038 |
| Practice Telephone | 3095233325 |
| Practice Fax Number | 3095239078 |
| Mailing Telephone | 3095233325 |
| Mailing Fax Number | 3095239078 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| Street Address |
308 11TH STREET NORTH |
| City | PORT BYRON |
| State | IL |
| Zip Code | 61275-9038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098619 | David Lee Bull | Chiropractor | 1010 Rose Hill Rd, Port Byron, IL 61275 | 2006-09-26 |
| 1548820194 | Riverfront Medical, LLC | Internal Medicine | 103 N Main St, Port Byron, IL 61275-7705 | 2019-06-17 |
| 1174959340 | Family Physical Therapy, LLC | Physical Therapist | 103 N Main St, Port Byron, IL 61275-7705 | 2013-09-19 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1518330505 | Galva Family Dentistry, Inc. | Dentist | 308 11th St, Port Byron, IL 61275-9038 | 2015-11-12 |
| 1609965763 | Gregory L Glade Dmd PC | Dentist | 308 11th St North, Port Byron, IL 61275-9038 | 2006-10-12 |
| 1033768544 | Abigail Martina Johnson | Specialist/Technologist | 9622 256th St N, Port Byron, IL 61275-9054 | 2019-09-06 |
| 1851593305 | Riverdale School District 100 | Local Education Agency (LEA) | 9624 256th St N, Port Byron, IL 61275-9054 | 2007-06-05 |
| 1811073109 | Frederick Bruce Perry | Emergency Medicine | 1012 S High St, Port Byron, IL 61275-9307 | 2006-10-28 |
| 1386764264 | Barbara Ann Gillman | Developmental Therapist | 905 17th St, Port Byron, IL 61275-9520 | 2007-04-02 |
| Find all providers in zip 61275 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609965763 | Gregory L Glade Dmd PC | Dentist | 308 11th St North, Port Byron, IL 61275-9038 | 2006-10-12 |
| 1548539489 | Sadriddin Naimov | Dentist | 60 Main St, Port Byron, NY 13140-9767 | 2011-12-21 |
| 1144557281 | Adesuwa B Bello | Dentist | 60 Main St, Port Byron, NY 13140 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629076 | Align Dental Group PC. | Dentist | 2605 Grand Ave Ste A, Waukegan, IL 60085-2410 | 2020-11-06 |
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1982201505 | Ashley Rodriguez | Dentist | 2208 N Mannheim Rd, Melrose Park, IL 60164-1837 | 2020-10-06 |
| 1831796853 | Shaista Hasan | Dentist | 1840 Harvest Ln, Glendale Heights, IL 60139-1939 | 2020-10-02 |
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1477160190 | Smilesbysangha LLC | Dentist | 118 Barrington Commons Ct Ste 201, Barrington, IL 60010-3259 | 2020-09-27 |
| 1477160331 | Samer Mosoof | Dentist | 9 Monroe Ct, Streamwood, IL 60107-1365 | 2020-09-24 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1275145534 | Moondrift Sleep Solutions, LLC | Dentist | 837 N Wilke Rd, Arlington Heights, IL 60005-1047 | 2020-08-18 |
| 1023629664 | Mockunas Dental PC | Dentist | 13530 S Route 59 Unit 120, Plainfield, IL 60544-5659 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PORT BYRON |
| Zip Code | 61275 |
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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.