P a Glidden Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1968 Issued in ID

Legal business name

P A GLIDDEN FAMILY DENTISTRY PA

Doing business as

Dr Gliddens Family Dentistry

Practice address

103 Superior St
Sandpoint, ID 83864-1394

Phone

(208) 263-8514

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Arnold Glidden, DDSNPI 1174636807

Title

President

Phone

(208) 263-8514

Specialties & licenses 1

Addresses

Other names 1

• DR GLIDDENS FAMILY DENTISTRY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Arnold Glidden, DDS

  • General Practice Dentistry
  • Sandpoint, ID
  • NPI 1174636807
  Authorized official Same address or phone

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083735195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641394",
            "telephone_number": "208-263-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641394",
            "telephone_number": "208-263-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P A GLIDDEN FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLIDDEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-263-8514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR GLIDDENS FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Orlando, M.S., CCC-SLP
• Caleb Jesse Orr, LPC
• Deborah Moore Osborn, LCSW
• Jennifer Elizabeth Ott, LCPC
• Lisa L Owens
• Panhandle Empowerment & Healing, LLC
• Panhandle Special Needs, Inc.
• Panhandle Support Services, LLC
• Paper Cranes Therapy
• Patricia Ann Morgan (Sleepro)

• General Practice Dentistry in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• General Practice Dentistry in Idaho

• 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.