DR. JEFFREY DAVID GLEN (NPI# 1659595528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659595528 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVID GLEN |
| Credential | DDS |
| Practice Address |
5224 Ridge Ave Phila PA 19128-3712 |
| Practice Telephone | 2154837174 |
| Practice Fax Number | 2154836039 |
| Mailing Telephone | 2184837174 |
| Mailing Fax Number | 2154836039 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS025753L | PA | Dental Providers |
| Street Address |
5224 RIDGE AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19128-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| 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 |
|---|---|---|---|---|
| 1558710236 | Patelka Dental Management At Torresdale LLC | Dentist | 6101 Torresdale Ave, 1st Floor, Phila, PA 19135-3717 | 2016-06-03 |
| 1346579968 | Thomas Upsitur King IIi | Dentist | 1725 W. Erie Ave., Phila, PA 19140-3544 | 2009-12-10 |
| 1821239542 | Dr Young & Associates | Dentist | 924 Arch St Bsmt, Phila, PA 19107-3100 | 2009-03-09 |
| 1689855603 | Ruth Fremont | Dentist | 5828b Market St, 2nd Floor, Phila, PA 19139-3114 | 2007-11-19 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| 1780804187 | Oleg Genis | Dentist | 8541 Bustleton Ave, Second Floor, Phila, PA 19152-1215 | 2007-04-26 |
| 1013130962 | Michael Anthony Slawek | Dentist | 413 Lyceum Ave, Phila, PA 19128-3418 | 2007-04-10 |
| 1568586725 | Jules Feinberg | Dentist | 6410 Rising Sun Ave, Phila, PA 19111-5229 | 2007-03-16 |
| 1780715433 | Stanley Dubin | Dentist | 2901 Secane Dr, Phila, PA 19154-1329 | 2007-03-07 |
| 1083769228 | Richard Lee Rush | Dentist | 722 Market St, Phila, PA 19106-2312 | 2007-01-25 |
| Find all providers in PHILA | ||||
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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.