DR. STEVEN BRETT DELAWTER JR. (NPI# 1770709883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770709883 |
| Entity Type | Individual |
| Full Name | DR. STEVEN BRETT DELAWTER JR. |
| Credential | DDS |
| Practice Address |
1025 N Brand Blvd Suite 210 Glendale CA 91202-3639 |
| Mailing Address |
1025 N Brand Blvd Suite 210 Glendale CA 91202-2950 |
| Practice Telephone | 8182421708 |
| Practice Fax Number | 8182420703 |
| Mailing Telephone | 8182421708 |
| Mailing Fax Number | 8182420703 |
| Enumeration Date | 2007-04-17 |
| 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 |
29579 | CA | Dental Providers |
| Street Address |
1025 N BRAND BLVD SUITE 210 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609989425 | Glendale Retina Associates Medical Group Inc. | Ophthalmology | 1025 N Brand Blvd, Suite 200, Glendale, CA 91202-2950 | 2006-08-16 |
| 1528317963 | Preferred Aco LLC | Case Management | 1025 N Brand Blvd, Suite 100, Glendale, CA 91202-2950 | 2012-08-30 |
| 1578790812 | Rachel Lynn Fine | Dentist | 1025 N Brand Blvd, Ste 210, Glendale, CA 91202-2950 | 2009-06-13 |
| 1295992725 | Preferred Ipa of California, A Professional Medical Corporation | General Practice | 1025 N Brand Blvd, Suite 100, Glendale, CA 91202-2950 | 2008-05-21 |
| 1346425121 | Marta A Recasens M D A Professional | Ophthalmology | 1025 N Brand Blvd, Suite 200, Glendale, CA 91202-2950 | 2007-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| 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 |
|---|---|---|---|---|
| 1427660422 | Joson Dental Corporation | Dentist | 1415 E Colorado St Ste C, Glendale, CA 91205-1577 | 2020-08-20 |
| 1558987271 | Edward Kelly Furlong | Dentist | 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 | 2020-06-18 |
| 1578116380 | Krina Patel Mesuria | Dentist | 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 | 2019-07-20 |
| 1801455068 | Clayton Corbridge | Dentist | 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 | 2019-06-11 |
| 1811454481 | Lucio H Kim Dds | Dentist | 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 | 2019-03-01 |
| 1902386634 | Arjun Bassin | Dentist | 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 | 2018-08-21 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1578062121 | Missagh Pezeshkian, D.d. S., A Professional Corporation | Dentist | 1016 E Broadway Ste 104, Glendale, CA 91205-4534 | 2018-02-09 |
| 1073037347 | Ian Phillip Bishop | Dentist | 6249 W Kristal Way, Glendale, AZ 85308-7661 | 2017-07-28 |
| 1801317391 | Christine Tran | Dentist | 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 | 2017-07-05 |
| Find all providers in GLENDALE | ||||
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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.