DR. ANDREW REMINGTON GLENN (NPI# 1619997707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619997707 |
| Entity Type | Individual |
| Full Name | DR. ANDREW REMINGTON GLENN |
| Credential | DDS, MD |
| Practice Address |
3401 Plantation Dr Suite 100 Lincoln NE 68516-4712 |
| Practice Telephone | 4024213401 |
| Practice Fax Number | 4024213411 |
| Mailing Telephone | 4024213401 |
| Mailing Fax Number | 4024213411 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6467 | NE | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 23254 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025325600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700378635 | Andrew Mark Glenn | General Practice | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2018-06-06 |
| 1518139906 | Andrew Raymond Glenn | Chiropractor | 40w201 Wasco Rd, Ste Ab, St Charles, IL 60175-8509 | 2008-03-26 |
| Street Address |
3401 PLANTATION DR SUITE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68516-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558300830 | Lisa I Mansur | Internal Medicine | 3401 Plantation Dr, Suite 160, Lincoln, NE 68516-4712 | 2006-06-05 |
| 1083640437 | Lisa I Mansur Md PC | Internal Medicine | 3401 Plantation Dr, Suite 160, Lincoln, NE 68516-4712 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380988 | Link To Communication LLC | Speech-Language Pathologist | 5760 S 86th, Ste 2, Lincoln, NE 68516 | 2019-08-08 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1679067839 | Beau D Bryant | Chiropractor | 5800 Hidcote Drive Suite 102, Lincoln, NE 68516 | 2018-06-20 |
| 1730688714 | Kathleen Morgan | Registered Nurse | 611 0 S 41st, Lincoln, NE 68516 | 2018-02-06 |
| 1689195695 | Laura Bokemper | Optometrist | 8201 S 40th St., Lincoln, NE 68516 | 2017-06-29 |
| 1346777562 | Kenneth Bradley Luedke | Counselor | 4706 South 48th St, Lincoln, NE 68516 | 2017-05-18 |
| 1154774669 | Jacob Tucker | Chiropractor | 7011 Kentwell Ln, Suite 200, Lincoln, NE 68516 | 2016-07-20 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| Find all providers in zip 68516 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808211 | Andrew R Glenn Dds Md PC | Oral & Maxillofacial Surgery | 3401 Plantation Dr Ste 100, Lincoln, NE 68516-4712 | 2020-07-10 |
| 1730222043 | Zysset PC | Oral & Maxillofacial Surgery | 7555 S 57th St, Suite 1, Lincoln, NE 68516-6663 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508967639 | Larry L Baker | Oral & Maxillofacial Surgery | 501 W 9th St, Hastings, NE 68901-3908 | 2006-09-25 |
| 1174704712 | Larry L Baker, Md, Dds, PC | Oral & Maxillofacial Surgery | 501 W 9th St, Hastings, NE 68901-3908 | 2007-11-26 |
| 1972622991 | John P Wewel | Oral & Maxillofacial Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2007-03-29 |
| 1013975630 | Leon F Davis | Oral & Maxillofacial Surgery | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-03 |
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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.