DR. GLENN I LEPOR (NPI# 1417020017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417020017 |
| Entity Type | Individual |
| Full Name | DR. GLENN I LEPOR |
| Credential | DDS |
| Practice Address |
3909 Silver Lake Rd Ne Minneapolis MN 55421-4352 |
| Practice Telephone | 6127893573 |
| Practice Fax Number | 6127899669 |
| Mailing Telephone | 6127893573 |
| Mailing Fax Number | 6127899669 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D10650 | MN | Dental Providers |
| Street Address |
3909 SILVER LAKE RD NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55421-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374480 | Andy Aldrich | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2020-07-27 |
| 1881060069 | Modern Dental Professionals, Mn PC | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2015-08-11 |
| 1184046385 | Mark Charles Wallace, Dds, PC | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2014-01-08 |
| 1275707580 | Advanced Dental Group | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2008-04-17 |
| 1174695936 | John David Steen | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2006-11-15 |
| 1891867669 | Howard W Taylor | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2006-11-15 |
| 1245303775 | Raymond Hellickson | Dentist | 3909 Silver Lake Rd Ne, Minneapolis, MN 55421-4352 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
| 1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
| 1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
| 1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
| 1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
| 1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| Find all providers in zip 55421 | ||||
| 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 |
|---|---|---|---|---|
| 1316400591 | Shorouk Elnagdy | Dentist | 515 Delaware St Se # 7-368, Minneapolis, MN 55455-0357 | 2019-04-13 |
| 1861784050 | Elham Akhlaghi | Dentist | 515 Delaware Street, Minneapolis, MN 55455 | 2011-05-06 |
| 1972770006 | Ying-lien Wu | Dentist | 150 S 5th St Ste 1475, Minneapolis, MN 55402-4212 | 2008-05-08 |
| 1548756984 | Barbara Botorous | Dentist | 515 Delaware St Se, Minneapolis, MN 55455-0357 | 2018-07-09 |
| 1851884712 | Alessandro Pedercini | Dentist | 515 Delaware Street Se, 7-368 Moos Health Science Tower, Minneapolis, MN 55455 | 2018-06-14 |
| 1679904429 | Ryan Wolff | Dentist | 515 Delaware St Se, 7-360 Moos Tower, Minneapolis, MN 55455-0357 | 2013-12-04 |
| 1417213695 | Sofia Karadimitriou | Dentist | 515 Delaware St Se, School of Dentistry, Minneapolis, MN 55455-0357 | 2012-04-02 |
| 1245506849 | Bashar Bakdash | Dentist | 515 Delaware St Se, 7-368 Mhst, Minneapolis, MN 55455-0357 | 2012-03-28 |
| 1649563040 | Massimo Costalonga | Dentist | 516 Delaware St Se, 7-300 Pwb, Minneapolis, MN 55455-0356 | 2011-05-18 |
| 1588996821 | Andrea Hsu | Dentist | 515 Delaware St Se, 7-368 Moos Health Science Tower, Minneapolis, MN 55455-0357 | 2010-02-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55421 |
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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.