DR. GLEN EARL JONES (NPI# 1962580423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962580423 |
| Entity Type | Individual |
| Full Name | DR. GLEN EARL JONES |
| Credential | D.M.D. |
| Practice Address |
168 14th St Sw Suite B Largo FL 33770-6103 |
| Practice Telephone | 7275855494 |
| Practice Fax Number | 7275841820 |
| Mailing Telephone | 7275855494 |
| Mailing Fax Number | 7275841820 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN15427 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497243901 | Glen Jones | Technician | 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 | 2018-04-30 |
| 1881910669 | Glen Darnell Jones | Registered Nurse | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2010-04-19 |
| 1053577544 | Glen A Jones | Physician Assistant | 1700 E Parks Hwy, Suite 200, Wasilla, AK 99654-7352 | 2008-08-04 |
| Street Address |
168 14TH ST SW SUITE B |
| City | LARGO |
| State | FL |
| Zip Code | 33770-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821000795 | L. Ruth Berry, Dmd, Pa | Dentist | 168 14th St Sw, Suite A, Largo, FL 33770-6103 | 2006-08-12 |
| 1467708230 | Jesse Jakubowski | Dentist | 168 14th St Sw, Suite B, Largo, FL 33770-6103 | 2012-07-31 |
| 1073784872 | Bay Center for Jaw Surgery Pa | Dentist | 168 14th St Sw, Suite B, Largo, FL 33770-6103 | 2008-03-19 |
| 1033396353 | Lillian Ruth Berry | Dentist | 168 14th St Sw, Suite A, Largo, FL 33770-6103 | 2008-01-29 |
| 1346326816 | James Lester Horner | Dentist | 168 14th St Sw, Suite B, Largo, FL 33770-6103 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700943883 | Alphonzo Lowell Davidson Sr. | Dentist | 932 Largo Center Drive, Largo, MD 20774 | 2007-01-02 |
| 1588634950 | Jose F. Lazaro-san Miguel | Dentist | 8675 Maidstone Ct, Largo, FL 33777-1314 | 2006-01-26 |
| 1689663346 | Tania Chimwemwe Nkungula-howlett | Dentist | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2005-10-17 |
| 1467708230 | Jesse Jakubowski | Dentist | 168 14th St Sw, Suite B, Largo, FL 33770-6103 | 2012-07-31 |
| 1821301599 | Alphonzo L. Davidson Sr,d.d.s.,pa | Dentist | 932 Largo Center Dr, Largo, MD 20774-3704 | 2010-07-22 |
| 1073784872 | Bay Center for Jaw Surgery Pa | Dentist | 168 14th St Sw, Suite B, Largo, FL 33770-6103 | 2008-03-19 |
| 1346326816 | James Lester Horner | Dentist | 168 14th St Sw, Suite B, Largo, FL 33770-6103 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
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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.