DR. GLEN C MCINTOSH (NPI# 1285793372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285793372 |
Entity Type | Individual |
Full Name | DR. GLEN C MCINTOSH |
Credential | D.D.S. |
Practice Address |
3400 Mcclure Bridge Rd Building G, Suite B Duluth GA 30096-6675 |
Practice Telephone | 7704768576 |
Practice Fax Number | 7706239714 |
Mailing Telephone | 7704768576 |
Mailing Fax Number | 7706239714 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
DN009756 | GA | Dental Providers |
Street Address |
3400 MCCLURE BRIDGE RD BUILDING G, SUITE B |
City | DULUTH |
State | GA |
Zip Code | 30096-6675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912903485 | Philip R Kennedy | Psychiatry & Neurology | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2005-06-21 |
1063860740 | Alpha Recovery Group Inc | Health Maintenance Organization | 3400 Mcclure Bridge Rd, Building C, Suit A&b, Duluth, GA 30096-6675 | 2016-06-02 |
1679960884 | Allys Sernior Services, Inc. | Health Maintenance Organization | 3400 Mcclure Bridge Rd, Building C-301, Duluth, GA 30096-6675 | 2015-04-26 |
1972889491 | Hand To Shoulder Therapy Specialists of Duluth | Occupational Therapist | 3400 Mcclure Bridge Rd, F601, Duluth, GA 30096-6675 | 2011-10-28 |
1154586667 | Mbs Connection LLC | Clinic/Center | 3400 Mcclure Bridge Rd, Bldg F, Ste A, Duluth, GA 30096-6675 | 2008-07-24 |
1164614608 | Community Neurological Clinic | Specialist | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2007-08-17 |
1871688317 | James Clinton Cronan Jr. | Plastic Surgery | 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 | 2006-10-03 |
1902818032 | Michelle Morante | Physician Assistant | 3400 Mcclure Bridge Rd, Building B, Duluth, GA 30096-6675 | 2006-08-13 |
1578574455 | Choice Chiropractic and Wellness, Inc. | Chiropractor | 3400 Mcclure Bridge Rd, Building B, Suite C, Duluth, GA 30096-6675 | 2006-08-10 |
1417977885 | Surgical Assistants of America, Inc. | Physician Assistant | 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 | 2006-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
Find all providers in zip 30096 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740375500 | William D Campbell | Dentist | 1818 Warm Springs Rd, Columbus, GA 31904 | 2006-10-04 |
1891880720 | William H. Wall | Dentist | 5139 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-1638 | 2006-10-04 |
1366546376 | Zoya B Kurago | Dentist | 1120 15th St Dept Of, Augusta, GA 30912 | 2006-09-11 |
1235248170 | Robert M Lazerson | Dentist | 3020 Roswell Rd, Suite 110, Marietta, GA 30062-4996 | 2006-08-30 |
1811000268 | William Paisley Hines | Dentist | 1587 Vernon Rd, Lagrange, GA 30240-4146 | 2006-08-17 |
1245267749 | Joel Martin Adler | Dentist | Joel M. Adler, Dds, 2677 Ridge Valley Rd Nw, Atlanta, GA 30327 | 2006-06-28 |
1780649202 | Stephanie Joy Drew | Dentist | 1365 Clifton Rd Ne Ste 2300, Atlanta, GA 30322-4405 | 2006-04-18 |
1023016748 | Michael Alan Kahn | Dentist | 2701 N. Decatur Rd., Decatur, GA 30033-5918 | 2005-07-08 |
1629073465 | Eric D Ferrara | Dentist | 614 S 8th St, Griffin, GA 30224-4214 | 2005-06-17 |
1457853210 | Pda Specialty of Georgia, LLC | Dentist | 3466 Cobb Pkwy Nw Ste 170, Acworth, GA 30101-5768 | 2018-03-07 |
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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.