Glenn Scott Heller, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22D102266500 Issued in NJ

Practice address

1 Country Lane
Branchville, NJ 07826

Phone

(973) 948-5000

Fax

(973) 948-2280

NPI assigned

Aug 21, 2006

Last updated

Dec 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Okeson Family Dental, PC

  • General Practice Dentistry
  • Branchville, NJ
  • NPI 1679799688
  NPD (past)
• The Suite Tooth, LLC

  • General Practice Dentistry
  • Branchville, NJ
  • NPI 1437944345
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1164537791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BIRCH PKWY",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711225",
            "telephone_number": "973-868-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY LANE",
            "city": "BRANCHVILLE",
            "state": "NJ",
            "postal_code": "07826",
            "telephone_number": "973-948-5000",
            "fax_number": "973-948-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "GLENN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102266500",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evermay at Branchville, LLC (Bentley Assisted Living at Branchville)
• Frankford TWP BD of Educ (Frankford Township Board of Education)
• Courtney Elann Gardepe, RN
• Good Vibes Counseling Center
• Ann Hartig
• Katie Struble LCSW LLC
• Kayleigh L Kovonuk, L.AC.
• Lakeview Behavioral Consulting LLC
• Lawrence Herbert Lentchner, PH.D.
• Alyssa Lewis, LAT, ATC

• Dentist in Branchville, NJ
• Providers in Branchville, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.