GLENDALE MODERN DENTISTRY, LLP (NPI# 1255757308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255757308 |
| Entity Type | Organization |
| Organization Name | GLENDALE MODERN DENTISTRY, LLP |
| Other Organization Name | GLENDALE MODERN DENTISTRY |
| Practice Address |
5143 West Olive Ave, Suite 140 Glendale AZ 85302 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 6239392600 |
| Practice Fax Number | 6239392603 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | MARISSA BROWN (OWNER DOCTOR) |
| Authorized Official Telephone | 6239392600 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Glendale Modern Dentistry | Doing Business As Name - Organization |
| Street Address |
5143 WEST OLIVE AVE, SUITE 140 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| 1245498146 | Frank Saverino | Counselor | 6153 West Olive Ave, Suite 1, Glendale, AZ 85302 | 2008-05-28 |
| Find all providers in zip 85302 | ||||
| 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 |
|---|---|---|---|---|
| 1902412935 | Mana Khajavi | Dentist | 333 Milford St Unit 105, Glendale, CA 91203-2080 | 2020-09-15 |
| 1538783360 | Madison Kurz | Dentist | 5757 W Thunderbird Rd Ste W300, Glendale, AZ 85306-5605 | 2020-06-08 |
| 1770107252 | Garabedian Dental Group Inc | Dentist | 1055 Ruberta Ave Apt 1, Glendale, CA 91201-2195 | 2020-06-01 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1073177820 | Arakelyan Professional Dental Inc | Dentist | 617 E Colorado St, Glendale, CA 91205-1709 | 2019-04-26 |
| 1316415086 | Igor Sulim Jr. | Dentist | 2300 W Good Hope Rd Unit 337, Glendale, WI 53209-2749 | 2018-11-10 |
| 1518434869 | Dentists of North Glendale, LLP | Dentist | 5890 W Bell Rd Ste 102, Glendale, AZ 85308-3884 | 2018-10-25 |
| 1245705888 | Anahid Acopian Dds, Inc. | Dentist | 1122 N Brand Blvd Ste 202, Glendale, CA 91202-2573 | 2018-10-10 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1821586249 | Angineh Hovasapian | Dentist | 461 W California Ave Apt 8, Glendale, CA 91203-2183 | 2018-05-01 |
| Find all providers in GLENDALE | ||||
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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.