DR. GLENN E BLOORE (NPI# 1740441203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740441203 |
| Entity Type | Individual |
| Full Name | DR. GLENN E BLOORE |
| Credential | D.D.S. |
| Practice Address |
300 S Beverly Dr Suite 101 Beverly Hills CA 90212-4808 |
| Practice Telephone | 3102779700 |
| Practice Fax Number | 3105531825 |
| Mailing Telephone | 3102779700 |
| Mailing Fax Number | 3105531825 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
39134 | CA | Dental Providers |
| Street Address |
300 S BEVERLY DR SUITE 101 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753723 | Julie Mc Arthur Branca | Psychologist | 300 S Beverly Dr, Suite 205, Beverly Hills, CA 90212-4808 | 2006-01-09 |
| 1942633680 | Daphna Cardinale | Marriage & Family Therapist | 300 S Beverly Dr, Suite 203, Beverly Hills, CA 90212-4808 | 2013-08-16 |
| 1841535713 | Heather Demeter, Psyd., Inc | Psychologist | 300 S Beverly Dr, Suite 400, Beverly Hills, CA 90212-4808 | 2012-12-04 |
| 1801159900 | Armine Nazarian, D.m.d., Inc. | Clinic/Center | 300 S Beverly Dr, Suite 303, Beverly Hills, CA 90212-4808 | 2012-06-22 |
| 1073813598 | Maziar Ghodsian Do PC | Colon & Rectal Surgery | 300 S Beverly Dr, Suite 105, Beverly Hills, CA 90212-4808 | 2010-11-01 |
| 1639487994 | Hilary Kern | Marriage & Family Therapist | 300 S Beverly Dr, Suite 412, Beverly Hills, CA 90212-4808 | 2010-09-21 |
| 1306178033 | Jonathan Daniel Flier | Marriage & Family Therapist | 300 S Beverly Dr, Suite 412, Beverly Hills, CA 90212-4808 | 2010-02-05 |
| 1619100732 | Ossi Pace | Marriage & Family Therapist | 300 S Beverly Dr, Suite 201, Beverly Hills, CA 90212-4808 | 2009-08-24 |
| 1861639239 | Kimberly Marie Ponton | Psychiatry & Neurology | 300 S Beverly Dr, Suite 301, Beverly Hills, CA 90212-4808 | 2009-01-07 |
| 1265695316 | Center for Psychotherapy & Wellness Inc | Marriage & Family Therapist | 300 S Beverly Dr, Suite 412, Beverly Hills, CA 90212 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| 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 |
|---|---|---|---|---|
| 1225551351 | Faraz Edalatpajouh | Dentist | 1054 Loma Vista Dr, Beverly Hills, CA 90210-2648 | 2017-07-20 |
| 1174955272 | Hillel Y Well | Dentist | 427 S Maple Dr, Beverly Hills, CA 90212-4713 | 2013-07-31 |
| 1548490410 | Yoram Kohanzadeh | Dentist | 2024 San Ysidro Dr, Beverly Hills, CA 90210-1537 | 2009-07-24 |
| 1356527980 | Scott G Newhart | Dentist | 416 N Bedford Dr Ste 311, Beverly Hills, CA 90210-4309 | 2008-01-14 |
| 1124243928 | Behrooz Zinati, Dds Inc. | Dentist | 8500 Wilshire Blvd Ste 818, Beverly Hills, CA 90211-3106 | 2007-04-16 |
| 1831541804 | Elfersi Dental Corporation | Dentist | 8500 Wilshire Blvd Ste 818, Beverly Hills, CA 90211-3106 | 2016-07-01 |
| 1598137051 | Tali Elfersi | Dentist | 8500 Wilshire Blvd Ste 818, Beverly Hills, CA 90211-3106 | 2015-10-23 |
| 1194149278 | Robert Bruce Mcfarlane | Dentist | 153 S Lasky Dr, Suite 6, Beverly Hills, CA 90212-1721 | 2014-02-10 |
| 1780954487 | Sid Saied Molayem | Dentist | 9675 Brighton Way, Suite #210, Beverly Hills, CA 90210-5100 | 2012-01-11 |
| 1437454840 | Alexander Waldman | Dentist | 99 N La Cienega Blvd, 301, Beverly Hills, CA 90211-2222 | 2011-01-14 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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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.