Glen Dental Studio

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GLEN DENTAL STUDIO

Practice address

146 N Brand Blvd
Glendale, CA 91203-2602

Phone

(818) 502-1999

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Stepan Harutyunyan, DMDNPI 1043603095

Title

President

Phone

(818) 568-6655

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stepan Harutyunyan, DMD

  • Dentist
  • Glendale, CA
  • NPI 1043603095
  NPD Authorized official
• Gordon Lau, D.D.S.

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1457482002
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1154931772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032602",
            "telephone_number": "818-502-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032602",
            "telephone_number": "818-502-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-568-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Giuntini, PTA
• Matthew Masoud Givrad, PHD, PSYD
• Gladhearts Senior Services
• Elena Vladimirovna Glassmaker, FNP
• Camber Spring Gleim, NBC-HWC
• Glen Park at Glendale - Mariposa St
• Glen Park East
• Glen-Park West Retirement Community, Inc
• Glen-White Urological Medical Group Inc
• Glen-White Urological Medical Group Inc

• Dental Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.