Andrew R Glenn DDS MD PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ANDREW R GLENN DDS MD PC

Practice address

3401 Plantation Dr Ste 100
Lincoln, NE 68516-4712

Phone

(402) 421-3401

Fax

(402) 421-3411

NPI assigned

Jul 10, 2020

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Boruch

Title

Insurance Administrator

Phone

(402) 421-3401

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, and the practitioner matching its NPPES authorized official.

• Andrew Remington Glenn, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lincoln, NE
  • NPI 1619997707
  NPD
• Joseph Bruce Bavitz, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lincoln, NE
  • NPI 1275614273
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1740808211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PLANTATION DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164712",
            "telephone_number": "402-421-3401",
            "fax_number": "402-421-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PLANTATION DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164712",
            "telephone_number": "402-421-3401",
            "fax_number": "402-421-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R GLENN DDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "BORUCH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-421-3401"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sara Andres
• Margaret Andres
• Eddy Andresen
• Tiffany Marie Andretti
• Andrew Miller DDS P.C.
• Crystal Marie Andrew
• Leslie Ann Andrew, L.M.H.P. C.M.S.W.
• Ann M Andrews, PT
• Arthur Robert Andrews III, PHD
• Gary Andrews

• Oral & Maxillofacial Surgery (D.M.D.) in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.