DR. GLENN RICHARD YOUNG (NPI# 1306972658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306972658 |
| Entity Type | Individual |
| Full Name | DR. GLENN RICHARD YOUNG |
| Credential | D.D.S. |
| Practice Address |
974 73rd St Ste.#3 Windsor Heights IA 50312-1024 |
| Practice Telephone | 5152241771 |
| Practice Fax Number | 5152241771 |
| Mailing Telephone | 5152241771 |
| Mailing Fax Number | 5152241771 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7809 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0134098 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427198126 | Glenn Young | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2007-02-08 |
| 1881044980 | Glenn Young | Pharmacist | 160 E 34th St, New York, NY 10016-4744 | 2016-06-20 |
| 1518046341 | Glenn Thomas Young | Specialist | 425 N Highland Ave, # 130, Sherman, TX 75092-7377 | 2006-11-03 |
| 1205910015 | Glenn Arthur Young | Dentist | 1151 E Main St, Suite A, Radford, VA 24141-1761 | 2006-10-25 |
| 1508948639 | Glenn D. L. Young | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-10-19 |
| 1255366423 | Glenn C Young | Optometrist | 2997 Highway 190, Vision Optique, Mandeville, LA 70471-3298 | 2006-07-12 |
| Street Address |
974 73RD ST STE.#3 |
| City | WINDSOR HEIGHTS |
| State | IA |
| Zip Code | 50312-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429403 | Praveen Chandra Prasad | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50312-1024 | 2005-07-01 |
| 1932630167 | Brown Therapy Resources LLC | Community/Behavioral Health | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2017-03-21 |
| 1891230447 | Rebecca Lake | Chiropractor | 974 73rd St, #40, Windsor Heights, IA 50324-1024 | 2017-01-05 |
| 1851643019 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 | 2012-10-11 |
| 1477709228 | Kevin Scott Brown | Counselor | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2008-08-13 |
| 1972760916 | Rick Nelson Endodontic PC | Preferred Provider Organization | 974 73rd St, Suite 18, Windsor Heights, IA 50312-1024 | 2008-05-19 |
| 1124216882 | Kelly Jesica Pearson | Nurse Practitioner | 974 73rd St, Windsor Heights, IA 50312-1024 | 2007-10-09 |
| 1891990271 | Rachelle L Gammon | Pediatrics | 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 | 2007-06-18 |
| 1811108749 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1026 | 2007-05-24 |
| 1093922940 | William L Pearce Jr.,dds,pc | Dentist | 974 73rd St, Suite37, Windsor Heights, IA 50312-1024 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669615 | Sima Zitouni | Dentist | 320 Mckenzie Ave Ste 207, Council Bluffs, IA 51503-1002 | 2017-06-18 |
| 1730595463 | Sarah Rinehart | Dentist | 1517 Mall Dr, Iowa City, IA 52240-3111 | 2014-07-02 |
| 1366878308 | Theodoros Katsaros | Dentist | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-09-23 |
| 1730487224 | Gustavo Avila Ortiz | Dentist | 322 Dental Science Bldg. S445, S445, Iowa City, IA 52242-1001 | 2011-03-07 |
| 1992951552 | Bill Campbell Rubright | Dentist | 31 Forest Hill Pl Ne, Iowa City, IA 52240-9125 | 2008-08-14 |
| 1205094570 | Parkway Periodontal Group PC | Dentist | 4090 Westown Parkway #a-4, West Des Moines, IA 50266 | 2008-05-23 |
| 1962660274 | Satheesh Elangovan | Dentist | 322 S. Dental Science Bldg, Iowa City, IA 52242-1001 | 2008-05-23 |
| 1992992291 | John Delbert Tingey | Dentist | 1800 Calvin Ct Apt 3, Iowa City, IA 52246-3102 | 2007-10-01 |
| 1740485598 | Keelen Tymkiw | Dentist | University of Iowa, College of Dentistry, Periodontics, S450 Dsb, Iowa City, IA 52242 | 2007-06-20 |
| 1376755520 | Michael Ryan Franzman | Dentist | 1800 E. 54th St., Suite A, Davenport, IA 52807 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR HEIGHTS |
| Zip Code | 50312 |
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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.