DR. GLENN P GODART (NPI# 1821201518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821201518 |
| Entity Type | Individual |
| Full Name | DR. GLENN P GODART |
| Credential | DMD |
| Practice Address |
110 Bergen St Newark NJ 07101-1709 |
| Mailing Address |
88 Sherwood Rd Ridgewood NJ 07450-1320 |
| Practice Telephone | 9739724615 |
| Mailing Telephone | 2014474894 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI01155300 | NJ | Dental Providers |
| Street Address |
110 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07101-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083607188 | Justin Howard Stone | Dentist | 110 Bergen St, Reception Area 8, Newark, NJ 07103-2495 | 2005-08-24 |
| 1376169987 | Christian Frank Carcione | Dentist | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-19 |
| 1760007835 | Tyler Branson Jacobs | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-14 |
| 1649895863 | Allison Derenzi | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-12 |
| 1912521865 | Justin Shane Dinowitz | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-05 |
| 1700400058 | Michael Thinh Tran | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-06-02 |
| 1154944783 | Viveka Patel | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-05-18 |
| 1346861630 | Joshua Paul Lilly | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Dept. of Oral and Maxillofacial Surgery, Newark, NJ 07103 | 2020-04-28 |
| 1043830409 | Suzana Mamo | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-25 |
| 1073133864 | Zehra Husain | Student in an Organized Health Care Education/Training Program | 110 Bergen St, Newark, NJ 07103-2495 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788300 | Winner & Associates, LLC | Counselor | 1004 Broad Street (suite 206), Newark, NJ 07101 | 2018-11-05 |
| 1679068373 | Diego David Garces Grosse | Student in an Organized Health Care Education/Training Program | 183 South Orange Avenue - Level F, Newark, NJ 07101 | 2018-06-25 |
| 1659880672 | Vanessa Latouche | Social Worker | 183 S Orange Ave. C-level, Newark, NJ 07101 | 2017-09-21 |
| 1295269397 | Anand Rajen Desai | Student in an Organized Health Care Education/Training Program | 185 South Orange Street, Newark, NJ 07101 | 2017-04-14 |
| 1942655568 | Ahmed Bilal Sheikh | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07101 | 2016-05-02 |
| 1558758524 | Hyunseok Kim | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh-i248, Newark, NJ 07101 | 2015-04-17 |
| 1750776951 | David Christopher Palange | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb G-538, Newark, NJ 07101 | 2015-04-03 |
| 1720340649 | Noah Aram Melikian | Student in an Organized Health Care Education/Training Program | 183 South Orange Ave., Dept of Psychiatry, Newark, NJ 07101 | 2012-06-15 |
| 1902125701 | Atuhani Seth Burnett | Surgery | 150 Bergen Street, Suite E-401, Newark, NJ 07101 | 2010-05-19 |
| 1427200385 | Gary Todd Fishbein | Dentist | 150 Bergen Street, Unit 1, Room C-401, Newark, NJ 07101 | 2008-10-22 |
| Find all providers in zip 07101 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179897 | Pain & Sleep Therapy Center | Dentist | 620 Churchmans Rd Ste 203, Newark, DE 19702-1945 | 2019-11-19 |
| 1699275594 | Ivy Hill Dental Center | Dentist | 679 Irvington Ave, Newark, NJ 07106-3306 | 2018-02-16 |
| 1164970943 | Ann Simmons | Dentist | 571 N 6th St Fl 1, Newark, NJ 07107-2501 | 2016-09-21 |
| 1700330107 | Minesh Patel Dds LLC | Dentist | 404 S 30th St, Newark, OH 43055-1238 | 2016-08-15 |
| 1285009357 | Chestnut Hill Smiles, LLC | Dentist | 139 E Chestnut Hill Rd, Newark, DE 19713-4043 | 2015-12-01 |
| 1720469927 | Ramanpreet S Nanra | Dentist | 6215 Market Ave, Newark, CA 94560-4033 | 2015-06-12 |
| 1598158966 | All State Dental LLC | Dentist | 546 Bloomfield Ave, Newark, NJ 07107-1338 | 2015-03-10 |
| 1760883979 | Rustam Zakiyev | Dentist | 114 Gotthardt St, Newark, NJ 07105-3104 | 2014-09-07 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1043630197 | Mark Kogan | Dentist | 110 Bergen St Rm B-854, Newark, NJ 07103-2495 | 2014-04-16 |
| 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.