BRANDON NORMAN GLENN (NPI# 1598104853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598104853 |
| Entity Type | Individual |
| Full Name | BRANDON NORMAN GLENN |
| Credential | D.D.S. |
| Practice Address |
2854 W 4700 S Suite B Taylorsville UT 84129-2102 |
| Practice Telephone | 8014327773 |
| Practice Fax Number | 8016791958 |
| Mailing Telephone | 8014327773 |
| Mailing Fax Number | 8016791958 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
30.023962 | OH | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
10067031-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417430679 | Brandon John Glenn | Physician Assistant | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2018-09-12 |
| Street Address |
2854 W 4700 S SUITE B |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84129-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891140331 | Caring for Kearns | Social Worker | 5525 S 4015 W, Suite #207 A & B, Taylorsville, UT 84129 | 2016-05-03 |
| 1386014116 | Rusty Scott Burns | Physician Assistant | 4745 South 3200 West, Oquirrh View Clinic, Taylorsville, UT 84129 | 2015-10-06 |
| 1013398817 | Clifford Simpson | Counselor | 4897 S Avant Cir, Taylorsville, UT 84129 | 2015-06-17 |
| 1912328576 | Heather Jenkins | Substance Abuse Rehabilitation Facility | 6200 South 3809 West, Kearns, UT 84129 | 2013-12-30 |
| 1184981201 | Intermountain Community Supports and Services, LLC | In Home Supportive Care | 5104 Heritage Cove, Taylorsville, UT 84129 | 2012-04-13 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1962962407 | Craig J Campbell Dpm PC | Durable Medical Equipment & Medical Supplies | 5255 S 4015 W, #140, Salt Lake City, UT 84129 | 2019-03-21 |
| 1851866735 | Katie Nicholls | Physician Assistant | 4745 S 3200 W, Taylorsville, UT 84129 | 2018-10-08 |
| 1962829374 | Spencer Tingey | Family Medicine | 3730 W 4700 S, Taylorsville, UT 84129 | 2014-03-24 |
| Find all providers in zip 84129 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205893740 | Richard W Elggren Dmd Inc | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-04-27 |
| 1184937971 | Robert Hale | Dentist | 6287 S Redwood Rd, Ste 203, Taylorsville, UT 84123-6634 | 2010-07-21 |
| 1952369522 | Jamie S Pogue | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-05-03 |
| 1831156371 | Richard W Elggren | Dentist | 6287 S Redwood Rd, #203, Taylorsville, UT 84123 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1689186272 | Itooth, LLC | Dentist | 181 W Vine St Ste B, Tooele, UT 84074-2084 | 2017-11-03 |
| 1457874059 | White Pine Endodontics PC | Dentist | 169 N Gateway Dr Ste 200, Providence, UT 84332-9516 | 2017-07-25 |
| 1801248885 | Stephen Rees | Dentist | 5334 S Woodrow St Ste 201, Murray, UT 84107-5838 | 2016-07-01 |
| 1437598521 | Desert Endodontics LLC | Dentist | 1224 S River Rd Ste 2, Saint George, UT 84790-8285 | 2013-06-21 |
| 1457618423 | Brandon Charles Pitcher | Dentist | 24 S 500 W Ste D, Bountiful, UT 84010-7188 | 2012-04-16 |
| 1376845610 | Alcorn Family Dentistry | Dentist | 5455 W. 11000 No., #103, Highland, UT 84003 | 2010-11-18 |
| 1922235639 | Brad Richard Christensen | Dentist | 1149 S 450 W, Suite 105, Brigham City, UT 84302-6707 | 2009-06-20 |
| 1861637308 | Endodontic Associates | Dentist | 1434 E 4500 S Ste 201, Salt Lake City, UT 84117-4252 | 2008-12-12 |
| 1790948594 | Stuart G. Gibby | Dentist | 2719 North Highway 89, Suite 100, Pleasant View, UT 84404 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84129 |
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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.