DR. DUDLEY BREWER GLASS, JR.


Address: 1002 Lexington Rd, Ste. 20, Georgetown, KY 40324-1463
Phone: 5028635442

DR. DUDLEY BREWER GLASS, JR. (NPI# 1619983863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619983863
Entity Type Individual
Full Name DR. DUDLEY BREWER GLASS, JR.
Credential D.M.D.
Practice Address 1002 Lexington Rd
Ste. 20
Georgetown
KY 40324-1463
Mailing Address 2855 Long Lick Pike
Georgetown
KY 40324-9462
Practice Telephone 5028635442
Mailing Telephone 5025357762
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4494 KY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY STATE LICENSE NUMBER 4494 01

Office Location

Street Address 1002 LEXINGTON RD
STE. 20
City GEORGETOWN
State KY
Zip Code 40324-1463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154343911 Gary V. Snyder Optometrist 1002 Lexington Rd, Georgetown, KY 40324-1463 2006-07-24
1497056220 Greenbo Med Services Inc Family Medicine 1002 Lexington Rd, Ste 22-286, Georgetown, KY 40324-1463 2010-11-10

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NPI Name Taxonomy Address Enumeration
1306457577 Katherine Lynn Helly Specialist/Technologist 108 Crawford Dr, Georgetown, KY 40324 2020-08-12
1629530597 Hannah Cheyenne Lambert Occupational Therapy Assistant 12 Dover Dr, Georgetown, KY 40324 2019-04-01
1669932430 Kathlyn Reeves Cummings Occupational Therapist 112 Dover Drive Dover Manor, Georgetown, KY 40324 2019-03-20
1356848147 Conundrum, Inc Home Health 107 Frazier Ct Ste 2b, Georgetown, KY 40324 2018-04-09
1831698893 Staci Case Counselor 110 E. Main St. Suite 111, Georgetown, KY 40324 2018-02-06
1821537002 Lesa Young Counselor 112 Gatewood Drive, Georgetown, KY 40324 2017-02-21
1508235904 Recovery Works Specialist 3109 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1417326810 Recovery Works Specialist 3111 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1982073383 Recovery Works Specialist 3109-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1871962274 Recovery Works Specialist 3111-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407408354 Carol Farn Dentist 3737 Williams Dr, Georgetown, TX 78628-2401 2019-07-11
1316507494 Ian Bradley Emerson Dentist 9215 State Road 64, Georgetown, IN 47122-8833 2019-06-19
1396224580 Advanced Dentistry and Cosmetic Center Dentist 230 Connector Rd, Georgetown, KY 40324-9722 2018-08-09
1669910592 Phoebe Y Sun Dentist 203 Champion Way Ste 6, Georgetown, KY 40324-8861 2017-02-12
1063864965 Andrew Edmonds Dentist 4405 Williams Dr Ste 300, Georgetown, TX 78628-1383 2016-07-05
1740562719 Adam Thompson Dmd Pllc Dentist 203 Champion Way, Suite #6, Georgetown, KY 40324-8861 2011-09-15
1700195823 Zeyad B Mughrabi Dentist 1615 Williams Dr, Georgetown, TX 78628 2010-10-07
1205082096 Robert L. Cieri Dentist 73 Redding Road, Unit 5, Georgetown, CT 06829 2008-08-12
1578747325 Euclid Newton Mcleod Jr. Dentist 1 Citizens Plz, 1102 S. Main St., Georgetown, TX 78626-5825 2007-12-27
1679785612 Mandy Lee Holley Dentist 3613 Williams Dr., Suite 1001, Georgetown, TX 78628 2007-05-03
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Competitor

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City GEORGETOWN
Zip Code 40324

Improve Information

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Dataset Information

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.

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