Organization Active NPI

Yvette Glina, DDS, LLC

  • Dental Clinic/Center
  • Marblehead, MA
National Provider Identifier
1366624306
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21031 Issued in MA
Legal business name
YVETTE GLINA, DDS, LLC
Practice address
1 Sheldon Rd
62 Humphrey Street Entrance
Marblehead, MA 01945-2024
Phone
(781) 631-3400
Fax
(781) 631-3464
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Authorized official

Name
Dr. Yvette Glina, DDSNPI 1699800391
Title
Owner
Phone
(781) 631-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21031 MA Primary

Addresses

Primary practice location

1 Sheldon Rd
62 Humphrey Street Entrance
Marblehead, MA 01945-2024

Mailing address

1 Sheldon Rd
62 Humphrey Street Entrance
Marblehead, MA 01945-2024
Phone (781) 631-3400

Other identifiers 1

IdentifierTypeStateIssuer
X12622OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1366624306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHELDON RD",
            "address_2": "62 HUMPHREY STREET ENTRANCE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452024",
            "telephone_number": "781-631-3400",
            "fax_number": "781-631-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHELDON RD",
            "address_2": "62 HUMPHREY STREET ENTRANCE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452024",
            "telephone_number": "781-631-3400",
            "fax_number": "781-631-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE GLINA, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "GLINA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-631-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X12622",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.