Glenwood Family Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GLENWOOD FAMILY DENTISTRY PC

Practice address

514 First St
Glenwood, IA 51534

Phone

(712) 527-3144

Fax

(712) 527-5900

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Paul Andrew Albertson, DDSNPI 1962521237

Title

Dentist

Phone

(712) 527-3144

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Paul Andrew Albertson, D.D.S.

  • Dentist
  • Glenwood, IA
  • NPI 1962521237
  NPD (past) Authorized official
• Dennis Gray, DDS

  • General Practice Dentistry
  • Glenwood, IA
  • NPI 1427047166
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417022096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 FIRST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "51534",
            "telephone_number": "712-527-3144",
            "fax_number": "712-527-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 FIRST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "51534",
            "telephone_number": "712-527-3144",
            "fax_number": "712-527-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "712-527-3144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kenneth Fryzek, M.D.
• Gle Glenwood LLC (Young Vision Care)
• Glen Haven Home, Inc. (Glen Haven Village)
• Glen Haven Home, Inc. (Glen Haven Village)
• Glenwood C.S.D.
• Glenwood Resource Center (Glenwood Resource Center Pharmacy)
• Glenwood Resource Center
• Glenwood Volunteer Fire Assoc Inc (Glenwood Fire Rescue)
• Dennis Gray, DDS
• Madison Halverson, TLMHC

• Dentist in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Dentist in Iowa

• 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.