DR. GLEN GOLEBURN (NPI# 1801980396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801980396 |
| Entity Type | Individual |
| Full Name | DR. GLEN GOLEBURN |
| Credential | D.M.D. |
| Practice Address |
1290 Peoples Plaza Newark DE 19702 |
| Practice Telephone | 3028363750 |
| Practice Fax Number | 3028362693 |
| Mailing Telephone | 3028363750 |
| Mailing Fax Number | 3028362693 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
G10000965 | DE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0001030831 | 05 | |
| DE | 0001030708 | 05 |
| Street Address |
1290 PEOPLES PLAZA |
| City | NEWARK |
| State | DE |
| Zip Code | 19702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396924 | Danielle L. Gerber | Dentist | 1290 Peoples Plaza, Newark, DE 19702 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| 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 |
|---|---|---|---|---|
| 1699390468 | Naima Mehek Javed | Dentist | 24 Jones St Apt 509, Newark, NJ 07103-3844 | 2020-06-08 |
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1437688421 | Mid Atlantic Dental Partners Delaware 1, Pa | Dentist | 330 Christiana Medical Ctr, Newark, DE 19702-1653 | 2017-06-05 |
| 1902340169 | Rajinder Hernandez | Dentist | 35111 Newark Blvd Ste A, Newark, CA 94560-1258 | 2016-12-07 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1598166688 | Gerald Au Dds Inc | Dentist | 35378 Lake Blvd, Newark, CA 94560-1360 | 2014-09-09 |
| 1093083156 | Marling Susana Espinosa | Dentist | 56 Ferguson St Apt E1, Newark, NJ 07105-2881 | 2011-12-05 |
| 1932481637 | Nachiket Dave | Dentist | 6258 Quicksilver Ave, Newark, CA 94560-5119 | 2011-09-19 |
| 1245538495 | Estella Guo | Dentist | 47 Boston Ct, Newark, NJ 07103-3445 | 2011-03-10 |
| 1891003596 | Edwin Simon Kuipers | Dentist | 210 W Park Pl, Newark, DE 19711-4519 | 2010-09-16 |
| Find all providers in NEWARK | ||||
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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.