DR. MARK RICHARD GLEISNER (NPI# 1841252996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841252996 |
| Entity Type | Individual |
| Full Name | DR. MARK RICHARD GLEISNER |
| Credential | DDS |
| Practice Address |
2 Nd Floor Bldg 9900 Attn: Credentials Office Tacoma WA 98431-0001 |
| Practice Telephone | 2539684039 |
| Mailing Telephone | 2539684039 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
5388-15 | WI | Dental Providers |
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D10642 | MN | Dental Providers |
| Street Address |
2 ND FLOOR BLDG 9900 ATTN: CREDENTIALS OFFICE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871741793 | Michael Joe Beke | Dentist | 2 Nd Floor Bldg 9900, Lincoln Street, Tacoma, WA 98431-0001 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477517498 | Heather Ruth Olmo | Dentist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-6101 | 2006-04-14 |
| 1093795536 | Edwynna Hale Miller | Dentist | Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Ft Lewis, Tacoma, WA 98431-0001 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653197 | Matthew Callan Dds Pllc | Dentist | 2530 Perry Ave Ste 100, Bremerton, WA 98310-5219 | 2019-01-17 |
| 1427373869 | Cazan & Menke Pllc | Dentist | W. 13326 14th Street, Airway Heights, WA 99001 | 2010-03-29 |
| 1982662482 | Scott Clayhold | Dentist | 22605 Se 56th St, Ste. 110, Issaquah, WA 98029-5289 | 2006-05-03 |
| 1760447122 | Oral Surgery Associates Inc. | Dentist | 3924 Martin Way E, Olympia, WA 98506-5220 | 2006-04-19 |
| 1326303298 | Julia Yu Fong Chang | Dentist | 1959 Ne Pacific St, Room B-202, Seattle, WA 98195-7133 | 2012-07-06 |
| 1942410436 | Oral Surgery Plus P.s. | Dentist | 123 W Francis Ave, Suite 101, Spokane, WA 99205-6348 | 2007-05-23 |
| 1598974339 | Darrell Rick Edwards | Dentist | 2345 Sw 320th St, Federal Way, WA 98023-2568 | 2007-05-21 |
| 1760542153 | Darrell K. Tew | Dentist | 1703 Creekside Loop, Suite 100, Yakima, WA 98902-4875 | 2006-12-08 |
| 1275691198 | Ralph K Zech II | Dentist | 1229 Madison St, Suite 1020, Seattle, WA 98104-3586 | 2006-12-04 |
| 1720154404 | Neal Oral & Maxillofacial Surgery | Dentist | 509 Olive Way, Suite 1207, Seattle, WA 98101 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
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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.