GLENN MARTIN (NPI# 1407876410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407876410 |
| Entity Type | Individual |
| Full Name | GLENN MARTIN |
| Credential | DDS |
| Practice Address |
4201 Tudor Centre Dr Suite 320 Anchorage AK 99508-5904 |
| Mailing Address |
Po Box 196320 Anchorage AK 99519 |
| Practice Telephone | 9073176070 |
| Practice Fax Number | 8067941919 |
| Mailing Telephone | 9073176070 |
| Mailing Fax Number | 8067941919 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | AK981 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DD17292 | 05 | |
| UNITED CONCORDIA | 865392 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578827374 | Glenn Martin | Occupational Therapist | 162 Garfield Pl, South Orange, NJ 07079-2107 | 2012-06-27 |
| 1215037593 | Glenn L Martin | Pharmacist | 4300 W. 7th St., Little Rock, AR 72205 | 2006-09-25 |
| 1801823463 | Glenn A Martin | Psychiatry & Neurology | 7558 113th St Ste 1a, Forest Hills, NY 11375-7229 | 2006-06-27 |
| 1174993075 | Glenn Martin | Counselor | 2414 Ferrand St, 1, Monroe, LA 71201-3249 | 2015-10-05 |
| 1518085869 | Glenn Ann Martin | Psychologist | 5583 Murray Rd, Suite 210, Memphis, TN 38119-3841 | 2007-03-26 |
| 1154479699 | Glenn A. Martin | Dentist | 28401 Bradley Rd, Suite D, Sun City, CA 92586-3040 | 2007-01-08 |
| 1972692184 | Glenn William Martin | Physician Assistant | 2700 Farmington Ave, Farmington, NM 87401-4559 | 2006-10-12 |
| 1609850890 | Glenn T Martin | Audiologist | 3692 E Sunset Rd, Las Vegas, NV 89120-7237 | 2005-12-01 |
| Street Address |
4201 TUDOR CENTRE DR SUITE 320 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435113 | Ronald A Feigin | Psychiatry & Neurology | 4201 Tudor Centre Dr, Suite 303, Anchorage, AK 99508-5904 | 2006-02-13 |
| 1497397541 | Sandra Cherise Cummings | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-10-10 |
| 1578114922 | Allison Schreck | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-26 |
| 1629629142 | Sherilyn Soots | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-25 |
| 1639653561 | Monica Gallagher | Massage Therapist | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2018-09-17 |
| 1871025262 | Wendy Olsen | Massage Therapist | 4201 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5914 | 2017-04-03 |
| 1790192433 | Southcentral Foundation | Clinic/Center | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2014-07-15 |
| 1184964199 | Christinejoy Cunanan Bilbao | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2013-02-28 |
| 1174889828 | Kelly Anne Campbell | Social Worker | 4201 Tudor Centre Dr, Suite #300, Anchorage, AK 99508-5904 | 2012-04-06 |
| 1841594827 | Southcentral Foundation | Dietary Manager | 4201 Tudor Centre Dr, Attn: Diabetes Education, Anchorage, AK 99508-5904 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1760081558 | Arne Anton Krogh | Dentist | 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 | 2020-10-22 |
| 1821649864 | Chase A Lundin | Dentist | 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 | 2019-09-20 |
| 1992358261 | Shaun Mcnees | Dentist | 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 | 2019-07-16 |
| 1194281725 | South Gate Cosmetic & Implant Dentistry LLC | Dentist | 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 | 2019-02-19 |
| 1124593769 | Luff Orthodontics Partnership LLC | Dentist | 3708 Rhone Circle, Anchorage, AK 99508 | 2018-10-10 |
| 1457835167 | Motuuf, LLC. | Dentist | 3401 Denali St Ste 201, Anchorage, AK 99503-4001 | 2018-09-18 |
| 1609356310 | Iris Ohsie | Dentist | 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 | 2018-08-21 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1306361712 | Leilani Marlin | Dentist | 2000 Abbott Rd Ste 100, Anchorage, AK 99507-3878 | 2017-08-07 |
| 1750802104 | Ali Azar | Dentist | 1136 N Muldoon Rd, Anchorage, AK 99504-6119 | 2017-07-06 |
| Find all providers in ANCHORAGE | ||||
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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.