DR. GLENN ROBERT HEAD (NPI# 1790771871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790771871 |
| Entity Type | Individual |
| Full Name | DR. GLENN ROBERT HEAD |
| Credential | D.M.D. |
| Practice Address |
6 Pointe Cir Greenville SC 29615-3506 |
| Practice Telephone | 8642331234 |
| Practice Fax Number | 8642988009 |
| Mailing Telephone | 8642331234 |
| Mailing Fax Number | 8642988009 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-10-23 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2868 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9481 | 05 |
| Street Address |
6 POINTE CIR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265407159 | Jori Falcon | Dentist | 6 Pointe Cir, Greenville, SC 29615-3506 | 2006-02-22 |
| 1841263845 | Eastside Pediatric Dentistry Pa | Dentist | 6 Pointe Cir, Greenville, SC 29615-3506 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699208488 | Greenville Tiny Teeth Pllc | Dentist | 3206 I 30, Suite C, Greenville, TX 75402-7000 | 2017-04-07 |
| 1275780454 | Upstate Pediatric Dentistry, Pa | Dentist | 105-a Halton Road, Greenville, SC 29607-3507 | 2008-08-19 |
| 1558532028 | Pediatric Dental Specialists | Dentist | 1540 S Main St, Suite C, Greenville, MS 38701-7055 | 2008-03-12 |
| 1003022930 | Greenville Pediatric Dentistry, P.a. | Dentist | 3101 Joe Ramsey Blvd E, Suite 103a, Greenville, TX 75401-7716 | 2007-05-15 |
| 1194805143 | Mary Whitaker Crockett | Dentist | 102 S Venture Dr, Greenville, SC 29615-3571 | 2006-10-16 |
| 1508956632 | April Dunlap Czarsty | Dentist | 1376 Cleveland St, Greenville, SC 29607-2435 | 2006-10-12 |
| 1518986496 | Jennifer L Garvey | Dentist | 100 Regent Park Ct, Greenville, SC 29607-6534 | 2006-07-19 |
| 1386689974 | William Neil Quinton | Dentist | 837 S Main St, Greenville, MS 38701-5871 | 2006-06-18 |
| 1902884984 | Pediatric Dentistry of Greenville,p.a. | Dentist | 410a Pelham Rd, Greenville, SC 29615-3502 | 2006-01-09 |
| 1154824324 | Michael Benham Thompson | Dentist | 545 Verdae Blvd Ste A, Greenville, SC 29607-4021 | 2018-03-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on DR. GLENN ROBERT HEAD.
| 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.