GLEN D HOUSTON (NPI# 1508835414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508835414 |
| Entity Type | Individual |
| Full Name | GLEN D HOUSTON |
| Credential | DDS |
| Practice Address |
3509 French Park Dr Suite D Edmond OK 73034-7296 |
| Practice Telephone | 4057154500 |
| Mailing Telephone | 4057154500 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
3753 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | GROUP MEDICARE | 800522089 | 01 |
| Street Address |
3509 FRENCH PARK DR SUITE D |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578714721 | Heartland Pathology Consultants, PCs | General Practice | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2008-10-07 |
| 1306985569 | James Keith Cooper | Radiology | 3509 French Park Dr, Ste E, Edmond, OK 73034-7291 | 2007-02-05 |
| 1588685143 | Sherrita Cotton Wilson | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-21 |
| 1700806742 | Mary Caroline Holmboe | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1518987817 | Ricky Reaves | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1871513218 | Ruth H Oneson | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1477573848 | Hatton W Sumner | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-20 |
| 1073530812 | Barry Michael Rockler | Pathology | 3509 French Park Dr, Ste D, Edmond, OK 73034-7296 | 2006-07-17 |
| 1447280474 | Heartland Pathology Consultants, PC | Clinical Medical Laboratory | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710175484 | Donal R Woodward Dds, Inc. | Dentist | 6143 E 91st St, Tulsa, OK 74137-3104 | 2007-10-09 |
| 1932281268 | Oral and Maxillofacial Associates | Dentist | 3727 Nw 63rd St, Suite 300, Oklahoma City, OK 73116-1931 | 2006-10-19 |
| 1528149796 | Scott Searcey | Dentist | 3727 Nw 63rd, #300, Oklahoma City, OK 73116-1931 | 2006-10-17 |
| 1922077361 | Stephen K Young | Dentist | 940 Stanton L Young Blvd, Ste. 451, Oklahoma City, OK 73104-5020 | 2006-03-17 |
| 1760451256 | David M Lewis | Dentist | 940 Stanton L Young Blvd, Ste. 451, Oklahoma City, OK 73104-5020 | 2006-03-16 |
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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.