DR. GLENN W BICKERT (NPI# 1992922447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992922447 |
| Entity Type | Individual |
| Full Name | DR. GLENN W BICKERT |
| Other Name | DR. G W BICKERT |
| Credential | DMD |
| Practice Address |
25261 Paseo De Valencia Suite 2 Laguna Woods CA 92637-4966 |
| Mailing Address |
21611 Midcrest Dr Lake Forest CA 92630-6584 |
| Practice Telephone | 9499517988 |
| Practice Fax Number | 9495815227 |
| Mailing Telephone | 9494006923 |
| Mailing Fax Number | 9495815227 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
27236 | CA | Dental Providers |
| Street Address |
25261 PASEO DE VALENCIA SUITE 2 |
| City | LAGUNA WOODS |
| State | CA |
| Zip Code | 92637-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629102439 | William Francis Wight | Dentist | 25261 Paseo De Valencia, Suite 1, Laguna Woods, CA 92637-4966 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452725 | Kathleen Reeder | Technician | 600 Avenida Sevilla Unit B, Laguna Woods, CA 92637 | 2019-08-16 |
| 1720589997 | Your Home Care | Clinic/Center | 24191 Paseo Da Valencia, Suite B, Laguna Woods, CA 92637 | 2018-02-23 |
| 1518407352 | Trans Elegant Services LLC | Non-emergency Medical Transport (VAN) | 2069 Via Mariposa E, Unit B, Laguna Woods, CA 92637 | 2017-02-27 |
| 1811277122 | Sarah Suna Rhee | Audiologist-Hearing Aid Fitter | 24310 Moulton Pkwy Ste D, Laguna Woods, CA 92637 | 2011-08-18 |
| 1740421908 | Rose Seligson | Social Worker | 256 Calle Aragon, Unit 'o', Laguna Woods, CA 92637 | 2009-03-18 |
| 1417130980 | Rosemarie Hill | Nurse Practitioner | 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 | 2007-12-07 |
| 1881719193 | Michael Goldman O.d.incorporated | Optometrist | 24100 El Toro Rd, Suite C, Laguna Woods, CA 92637 | 2007-03-20 |
| 1013989870 | Susan K Grenz | Internal Medicine | 779 C Via Los Altos, Laguna Woods, CA 92637 | 2006-02-06 |
| 1255325411 | Don Karabelnik | Family Medicine | 5370 Punta Alta, Unit 2e, Laguna Woods, CA 92637 | 2005-09-02 |
| 1508395948 | Nguyen Phu Truong | Pharmacist | 24167 Paseo De Valencia, Laguna Hills, CA 92637 | 2017-06-08 |
| Find all providers in zip 92637 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA WOODS |
| Zip Code | 92637 |
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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.