DR. GLEN DAVID BLANCHARD (NPI# 1205948619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205948619 |
| Entity Type | Individual |
| Full Name | DR. GLEN DAVID BLANCHARD |
| Credential | D.D.S. |
| Practice Address |
4364 N Josey Ln Carrollton TX 75010-4602 |
| Practice Telephone | 9723941492 |
| Practice Fax Number | 9723948650 |
| Mailing Telephone | 9723941492 |
| Mailing Fax Number | 9723948650 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14021 | TX | Dental Providers |
| Street Address |
4364 N JOSEY LN |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316360035 | Anthony Dillard Dds Pllc | Dentist | 4364 N Josey Ln, Carrollton, TX 75010-4602 | 2014-01-31 |
| 1801982913 | Melinda Gayle Marten | Dental Hygienist | 4364 N Josey Ln, Carrollton, TX 75010 | 2006-10-05 |
| 1528159076 | Dental Designs of Carrollton, P.a. | Dentist | 4364 N Josey Ln, Carrollton, TX 75010-4602 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| 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 |
|---|---|---|---|---|
| 1770192692 | Michelle Nguyen | Dentist | 1457 Summerhill Dr, Carrollton, TX 75007-6049 | 2020-07-27 |
| 1629611587 | Vincent Dirusso | Dentist | 1801 Crest View Dr, Carrollton, TX 75006-1609 | 2019-10-23 |
| 1508411844 | Steven Christopher Renas | Dentist | 1930 E Rosemeade Pkwy Ste 103, Carrollton, TX 75007-2467 | 2019-08-05 |
| 1912483942 | Asana Family Dental Pllc | Dentist | 1235 S Josey Ln Ste 534, Carrollton, TX 75006-7684 | 2018-07-12 |
| 1578059002 | Richard Sung | Dentist | 1204 N Josey Ln, Carrollton, TX 75006-6117 | 2018-07-09 |
| 1811423379 | Kvillage Dental | Dentist | 1028 Mac Arthur Dr, #100, Carrollton, TX 75007 | 2017-05-03 |
| 1710331582 | Dowell Dental Third Street LLC | Dentist | 25 3rd St Ne, Carrollton, OH 44615-1205 | 2016-04-19 |
| 1891166989 | Alexander Beavers | Dentist | 403 Locust St, Carrollton, IL 62016-1304 | 2015-10-14 |
| 1619360450 | Trinity J & S, Inc. | Dentist | 1000 West Rosemeade Parkway, Carrollton, TX 75007 | 2015-03-17 |
| 1740600931 | Ayesha Noor Malik | Dentist | 2904 Old Denton Rd, Suite 112, Carrollton, TX 75007 | 2014-04-26 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.