Josh Hassan DMD PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JOSH HASSAN DMD PLLC

Doing business as

Glen Perio and Implant Dentistry

Practice address

2640 Patriot Blvd Ste 140
Glenview, IL 60026-8076

Phone

(516) 312-4735

Fax

(847) 729-0202

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Jeanette Fruhman

Title

Controller

Phone

(516) 312-4735

Specialties & licenses 1

Addresses

Other names 1

• Glen Perio and Implant Dentistry Doing business as

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1740973429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD STE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268076",
            "telephone_number": "516-312-4735",
            "fax_number": "847-729-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD STE 140",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268076",
            "telephone_number": "516-312-4735",
            "fax_number": "847-729-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH HASSAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "FRUHMAN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "516-312-4735"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Perio and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Michael Jose
• Brijesh Joseph
• Honey Joseph
• Mercy P Joseph, RN
• Nibia B Joseph
• Rupal Joshi, MD
• Shruti Joshi, PT, MS
• Joung Eun Song, DDS, PC
• Bradley Wayne Jourdan, PT,DPT
• Journeycare, Inc.

• Periodontics in Glenview, IL
• Providers in Glenview, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.