GLENN E. GIBSON, DDS (NPI# 1386882215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386882215 |
| Entity Type | Organization |
| Organization Name | GLENN E. GIBSON, DDS |
| Practice Address |
885 Canarios Ct 204 Chula Vista CA 91910-7877 |
| Practice Telephone | 6192169900 |
| Practice Fax Number | 6192169461 |
| Mailing Telephone | 6192169900 |
| Mailing Fax Number | 6192169461 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | DR. GLENN E GIBSON (OWNER) |
| Authorized Official Telephone | 6192169900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33091 | CA | Dental Providers |
| Street Address |
885 CANARIOS CT 204 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-7877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982651535 | Manual Orthopedic Physical Therapy, Inc. | Physical Therapist | 885 Canarios Ct, Ste 110, Chula Vista, CA 91910-7877 | 2006-05-28 |
| 1588086409 | Christopher Angel Garcia | Physical Therapist | 885 Canarios Ct, Suite 110, Chula Vista, CA 91910-7877 | 2014-01-11 |
| 1083042311 | Bodywise Acupuncture & Total Wellness | Clinic/Center | 885 Canarios Ct, Ste. 110, Chula Vista, CA 91910-7877 | 2013-10-23 |
| 1700210382 | Jennifer Paulus | Physical Therapist | 885 Canarios Ct, 110, Chula Vista, CA 91910-7877 | 2013-08-30 |
| 1609010735 | South Bay Endodontics | Dentist | 885 Canarios Ct, Suite 208, Chula Vista, CA 91910-7877 | 2009-04-20 |
| 1578751046 | Imelda Francisco Delosreyes | Dentist | 885 Canarios Ct, Suite 212, Chula Vista, CA 91910-7877 | 2007-10-10 |
| 1205045978 | Manuel & Emily Lavarias, D.d.s., Inc. | Dentist | 885 Canarios Ct, Suite 206, Chula Vista, CA 91910-7877 | 2007-05-21 |
| 1699984344 | Manuel L. Lavarias | Dentist | 885 Canarios Ct, Suite 206, Chula Vista, CA 91910-7877 | 2007-05-21 |
| 1932318698 | Emily Barrera Lavarias | Dentist | 885 Canarios Ct, Suite 206, Chula Vista, CA 91910-7877 | 2007-05-21 |
| 1124158365 | Irene Malabanan Ting | Dentist | 885 Canarios Ct, Suite #212, Chula Vista, CA 91910-7877 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902468705 | Marichris Damasco | Dentist | 397 E St Ste A, Chula Vista, CA 91910-2684 | 2019-07-01 |
| 1184199705 | Cluff Dental Corporation | Dentist | 232 Third Ave, Chula Vista, CA 91910-2711 | 2018-10-10 |
| 1154817138 | Diana Heineken | Dentist | 1415 Ridgeback Rd Ste 26, Chula Vista, CA 91910-6990 | 2018-07-02 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1750639456 | Olga Suiz | Dentist | 661 Third Ave., Chula Vista, CA 91910 | 2012-08-28 |
| 1255686036 | Sonal Singh Dental Corporation | Dentist | 700 Otay Lakes Rd, Chula Vista, CA 91910-6912 | 2012-07-18 |
| 1336407410 | Maria Luisa C. Vales, D.m.d., Inc. | Dentist | 88 E Bonita Rd Ste F, Chula Vista, CA 91910-3057 | 2012-04-26 |
| 1407137730 | Sailaja Kuruvadi | Dentist | 730 Broadway Ste 104, Chula Vista, CA 91910-5362 | 2011-08-31 |
| 1932489234 | James A Buhanan | Dentist | 2443 Mackenzie Creek Rd, Chula Vista, CA 91914-3533 | 2011-08-18 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.