GLENN MARON (NPI# 1295791549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295791549 |
Entity Type | Individual |
Full Name | GLENN MARON |
Credential | DDS FACS |
Practice Address |
999 Peachtree St Ne Ste 715 Atlanta GA 30309 |
Mailing Address |
5505 Peachtree Dunwoody Rd Ste 660 Atlanta GA 30342-2018 |
Practice Telephone | 4048922999 |
Practice Fax Number | 4048157730 |
Mailing Telephone | 4048922999 |
Mailing Fax Number | 4048157730 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2019-07-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgery | 10345 | GA | Allopathic & Osteopathic Physicians |
Y | 204E00000X | Oral & Maxillofacial Surgery | 010345 | GA | Allopathic & Osteopathic Physicians |
Street Address |
999 PEACHTREE ST NE STE 715 |
City | ATLANTA |
State | GA |
Zip Code | 30309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275993016 | Joe Schmoe Dds PC | Dentist | 999 Peachtree St Ne, Atlanta, GA 30309-3915 | 2016-03-04 |
1861865206 | Tm | Dentist | 999 Peachtree St Ne, Suite 800, Atlanta, GA 30309-3915 | 2015-11-06 |
1639542459 | Peachtree Dunwoody Oral and Facial Surgery, PC | Dentist | 999 Peachtree St Ne, Suite 715, Atlanta, GA 30309-3915 | 2015-11-02 |
1588053672 | Poppin Perio PC | Dentist | 999 Peachtree St Ne, Suite 800, Atlanta, GA 30309-3915 | 2015-01-13 |
1053549915 | Suzanna R Aguilera | Dentist | 999 Peachtree St Ne, Suite 700, Atlanta, GA 30309-3915 | 2009-06-30 |
1134248362 | Jay Smith | Dentist | 999 Peachtree St Ne, Suite # 795, Atlanta, GA 30309 | 2007-03-28 |
1164548723 | Robert Brochstein | Dentist | 999 Peachtree St Ne, Ste. 705, Atlanta, GA 30309-3915 | 2007-03-22 |
1528107984 | Priest & Smith, LLC | Dentist | 999 Peachtree St Ne, Suite 795, Atlanta, GA 30309-3915 | 2007-02-05 |
1285771253 | Metropolitan Atlanta Cardiology Consultants | Internal Medicine | 999 Peachtree St Ne, Suite 850, Atlanta, GA 30309-3915 | 2007-01-31 |
1114036076 | Forrest Michael Toca | Internal Medicine | 999 Peachtree St Ne, Suite 850, Atlanta, GA 30309-3915 | 2006-08-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
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Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265735187 | Robert M. Fryer, Dds, PC | Oral & Maxillofacial Surgery | 5555 Peachtree Dunwoody Rd Ne, Suite G56, Atlanta, GA 30342-1703 | 2010-12-15 |
1366450371 | Thomas E Osborne | Oral & Maxillofacial Surgery | 2295 Parklake Dr Ne, Suite 240, Atlanta, GA 30345-2844 | 2006-08-04 |
1750335733 | Gary F Bouloux | Oral & Maxillofacial Surgery | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-05-22 |
1669439774 | Sam E Farish | Oral & Maxillofacial Surgery | 1365b Clifton Rd Ne, Ste 2300, Atlanta, GA 30322 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124453337 | Ladi Doonquah | Oral & Maxillofacial Surgery | 3660 Flat Shoals Rd Ste 100, Decatur, GA 30034-1649 | 2013-09-06 |
1699040121 | Shenan Marie Bradshaw | Oral & Maxillofacial Surgery | 5505 Peachtree Dunwoody Rd Ste 660, Sandy Springs, GA 30342 | 2012-03-16 |
1720107105 | Christian Loetscher | Oral & Maxillofacial Surgery | 4205 N Point Pkwy Ste F, Alpharetta, GA 30022-8808 | 2007-03-28 |
1659460772 | William Jones Phillips | Oral & Maxillofacial Surgery | 698 Medical Park Lane, Gainesville, GA 30501 | 2006-10-12 |
1841306909 | Lawrence Matthew Marra | Oral & Maxillofacial Surgery | 3965 Holcomb Bridge Road, Suite 102, Norcross, GA 30092 | 2006-08-22 |
1861505141 | Durwood M Johnson Jr. | Oral & Maxillofacial Surgery | 1260 Hwy 54 W, Suite 200, Fayetteville, GA 30214 | 2006-08-17 |
1184667370 | Scott S Derossi | Oral & Maxillofacial Surgery | 1430 John Wesley Gilbert Drive, Gc-1024, Ghsu College of Dental Medicine, Augusta, GA 30912-1001 | 2006-06-14 |
1942258397 | Henry W Ferguson | Oral & Maxillofacial Surgery | 1430 John Wesely Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2006-05-05 |
1952363442 | Advanced Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 | 2006-04-03 |
1114425964 | Gofs Stockbridge | Oral & Maxillofacial Surgery | 225 Country Club Dr, #110, Stockbridge, GA 30281 | 2018-01-26 |
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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.