JORDAN MATTHEW GLENN


Address: 5 College Ave, Windsor, NY 13865-4109
Phone: 6076552141

JORDAN MATTHEW GLENN (NPI# 1881902039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881902039
Entity Type Individual
Full Name JORDAN MATTHEW GLENN
Credential D.D.S.
Practice Address 5 College Ave
Windsor
NY 13865-4109
Mailing Address 5 College Ave
Po Box 347
Windsor
NY 13865-4109
Practice Telephone 6076552141
Practice Fax Number 6076553388
Mailing Telephone 6076552141
Mailing Fax Number 6076553388
Enumeration Date 2010-09-22
Last Update Date 2010-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
055268 NY Dental Providers

Other Providers JORDAN GLENN

NPI Name Taxonomy Address Enumeration
1093008237 Jordan J Glenn Surgery 6750 W Thunderbird Rd Ste B-108, Peoria, AZ 85381-5026 2011-05-20

Office Location

Street Address 5 COLLEGE AVE
City WINDSOR
State NY
Zip Code 13865-4109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558308627 Julie A Barnes Nurse Practitioner 5 College Ave, Windsor Family Care Center, Windsor, NY 13754 2006-05-31
1851998280 Jessica Webb Nurse Practitioner 5 College Ave, Windsor, NY 13865-4109 2020-10-08
1134673601 Melissa Depersis Nurse Practitioner 5 College Ave, Windsor, NY 13865-4109 2016-08-12
1770871196 Lauren E Crane Nurse Practitioner 5 College Ave, Windsor, NY 13865-4109 2011-07-19
1043309032 Robert Michael Cantales Dentist 5 College Ave, Windsor, NY 13865 2006-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801154083 Windsor Emergency Services, Inc. Ambulance 4 Academy Street, Windsor, NY 13865 2012-04-25
1770667560 Gary P Johnson Pharmacy 112 Main St, Windsor, NY 13865 2006-10-25
1982693644 Windsor Volunteer Fire Company Inc Ambulance 4 Academy St, Windsor, NY 13865-0433 2005-10-17
1013293661 Denise Annette Everett Registered Nurse 440 Foley Rd, Windsor, NY 13865-1007 2011-10-27
1306081229 Jeanne C. Stracuzzi Dietitian, Registered 93 Riley Rd, Windsor, NY 13865-1034 2008-12-05
1336203181 Jean Evans Siegrist Pharmacist 208 North Rd, Windsor, NY 13865-1209 2006-12-19
1568785400 Richard Alan Siegrist Pharmacist 208 North Rd, Windsor, NY 13865-1209 2010-03-07
1285101618 Michelle Pultz Massage Therapist 996 State Route 79, Windsor, NY 13865-1386 2018-10-24
1164611208 Bobbi Anne Story Licensed Practical Nurse 474 Mountain Rd, Windsor, NY 13865-1737 2007-10-15
1407405426 Sadie Marie Kinner Community Health Worker 5 Buell Rd, Windsor, NY 13865-2321 2019-09-11
Find all providers in zip 13865

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730719279 Bartley Dentistry Dentist 697 Poquonock Ave., Windsor, CT 06095-2259 2020-01-23
1902391824 Alyssa D Peake Dentist 8741 Brooks Rd S Ste 201, Windsor, CA 95492-7854 2018-06-22
1861905036 Smiles of Windsor, LLC Dentist 408 Windsor Ave, Windsor, CT 06095-4467 2017-11-09
1144744541 Judson D Valstad Dmd Inc Dentist 1292 Main St Unit 2, Windsor, CO 80550-5965 2017-07-28
1386955508 Davis Wayne Gardner Dentist 70 E Windsor Blvd Ste D, Windsor, VA 23487-9443 2010-06-23
1427214659 Donald S Himel Dentist 8968 Brooks Rd S, Windsor, CA 95492-7810 2008-08-07
1639334204 Serena Sze-wing Chun Dentist 911 Medical Center Plz Ste 13, Windsor, CA 95492-7816 2008-07-23
1801050554 Brad Evan Chun Dentist 911 Medical Center Plz, Suite # 13, Windsor, CA 95492-7815 2008-07-11
1457519043 Christopher Robert Murolo Dentist 110 Mirna Ct, Windsor, CA 95492-8894 2008-05-30
1659581726 George Gerald Grayson Dentist 600 Tecumseh Rd. East, 140, Windsor, ONTARIO N8X4X9 2007-05-23
Find all providers in WINDSOR

Competitor

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City WINDSOR
Zip Code 13865

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Dataset Information

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.

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