Glen Flora Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLEN FLORA DENTAL

Practice address

1020 W Glen Flora Ave
Waukegan, IL 60085-1882

Phone

(847) 623-0399

Fax

(847) 623-4745

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi Skinner

Title

Office Manager

Phone

(847) 623-0399

Specialties & licenses 1

Addresses

Tax ID family

Glen Flora Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glen Flora Dental

  • Dentist
  • Waukegan, IL
  • NPI 1407161953
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063592467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W GLEN FLORA AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851882",
            "telephone_number": "847-623-0399",
            "fax_number": "847-623-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W GLEN FLORA AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600851882",
            "telephone_number": "847-623-0399",
            "fax_number": "847-623-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN FLORA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-623-0399"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Ginsberg, MD
• John Ginter, LCPC
• Zachariah Givens, BS
• Kimberlee Ann Glander, M.S., CCC-SLP/L
• Chelsey Glatz
• Glen Flora Dental
• Glenlake Terrace Nursing & Rehabilitation Centre
• Glenlake Terrace Nursing & Rehabilitation Ceter, LLC
• Glenlake Terrace Nursing and Rehabilitation Centre LTD
• Global Executive Council Services

• General Practice Dentistry in Waukegan, IL
• Providers in Waukegan, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.