GLENN EVANS (NPI# 1235511882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235511882 |
| Entity Type | Individual |
| Full Name | GLENN EVANS |
| Credential | DMD |
| Practice Address |
1151 E Main St Suite A Radford VA 24141-1761 |
| Practice Telephone | 5406391674 |
| Practice Fax Number | 6406399205 |
| Mailing Telephone | 5406391674 |
| Mailing Fax Number | 6406399205 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401414899 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142492 | Glenn Jeffrey Evans | Dentist | 703 Parkway Dr, Wheaton, IL 60187-3646 | 2005-11-23 |
| 1285623744 | Glenn Hamilton Evans Sr. | Internal Medicine | 1305 Ocilla Rd, Douglas, GA 31533-2209 | 2005-10-18 |
| 1396808739 | Glenn William Evans | Counselor | 2091 Professional Dr, Suite I-1, Flint, MI 48532-3657 | 2006-12-18 |
| Street Address |
1151 E MAIN ST SUITE A |
| City | RADFORD |
| State | VA |
| Zip Code | 24141-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346479607 | Marshall Kent Kiser | Dentist | 1151 E Main St, Radford, VA 24141-1761 | 2009-07-08 |
| 1760644181 | Tyler David Burningham | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2008-06-26 |
| 1396815080 | Radford Family Dental, Inc. | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-11-09 |
| 1205910015 | Glenn Arthur Young | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-10-25 |
| 1932281748 | Ronnie Mack Hilton | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-10-20 |
| 1821170606 | John Dickerson Semones | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-10-20 |
| 1790867505 | John Earl Hilton Jr. | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| 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 |
|---|---|---|---|---|
| 1760644181 | Tyler David Burningham | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GLENN EVANS.
| 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.