DR. GLARA SOO YI (NPI# 1619168192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619168192 |
| Entity Type | Individual |
| Full Name | DR. GLARA SOO YI |
| Credential | DDS |
| Practice Address |
1331 S Eliseo Dr Greenbrae CA 94904-2010 |
| Practice Telephone | 4154611337 |
| Practice Fax Number | 4154616314 |
| Mailing Telephone | 4154611337 |
| Mailing Fax Number | 4154616314 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
46716 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DDS LICENSE | 46716 | 01 |
| Street Address |
1331 S ELISEO DR |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386607935 | Gordon S Macdonald | Dentist | 1331 S Eliseo Dr, Greenbrae, CA 94904-2010 | 2006-04-06 |
| 1194953992 | Matthew Ryan Mynsberge | Dentist | 1331 S Eliseo Dr, Greenbrae, CA 94904-2010 | 2009-06-30 |
| 1962534438 | James H. Friedman | Dentist | 1331 S Eliseo Dr, Greenbrae, CA 94904-2010 | 2007-03-11 |
| 1558401281 | Mark Alan Bennett | Dentist | 1331 S Eliseo Dr, Greenbrae, CA 94904-2010 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618413 | Michael J. Molosky | Dentist | 271 Via La Paz, Greenbrae, CA 94904-1243 | 2008-07-30 |
| 1417143082 | Mark Andrew Michna | Dentist | 350 Bon Air Rd, Suite 100, Greenbrae, CA 94904-1752 | 2007-09-18 |
| 1023023629 | Thomas P. Collins, Dds, A PC | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2006-07-30 |
| 1386607935 | Gordon S Macdonald | Dentist | 1331 S Eliseo Dr, Greenbrae, CA 94904-2010 | 2006-04-06 |
| 1629509708 | Eric Zaremski, Dds, Inc. | Dentist | 1000 S Eliseo Dr, Suite 202, Greenbrae, CA 94904-2133 | 2017-03-21 |
| 1174814008 | Mark Michna, Dds, Inc. | Dentist | 599 Sir Francis Drake Blvd, Suite 306, Greenbrae, CA 94904-1712 | 2011-04-26 |
| 1700050150 | James Vincent Birrell | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2008-04-16 |
| 1962534438 | James H. Friedman | Dentist | 1331 S Eliseo Dr, Greenbrae, CA 94904-2010 | 2007-03-11 |
| 1306988431 | Christopher Joseph Catalano | Dentist | 1341 S Eliseo Dr, Suite #327, Greenbrae, CA 94904-2000 | 2007-02-13 |
| 1699870741 | Michael James Foster | Dentist | 599 Sir Francis Drake Blvd, Suite 306, Greenbrae, CA 94904-1712 | 2006-09-13 |
| Find all providers in GREENBRAE | ||||
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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.