Active NPI
Yvette Glina, DDS, LLC
- Dental Clinic/Center
- Marblehead, MA
National Provider Identifier
1366624306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 21031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yvette Glina, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X12622 | Other | MA | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Marblehead, MA
- NPI 1699800391
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.