Glenn R Justice, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3072 Issued in NV

Practice address

9484 W Lake Mead Blvd Ste 2
Las Vegas, NV 89134-8339

Phone

(702) 304-8338

Fax

(702) 304-0733

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Ting DMD a Professional

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1497911812
  NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1790716355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 HEARTSTONE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891290403",
            "telephone_number": "702-493-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 W LAKE MEAD BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348339",
            "telephone_number": "702-304-8338",
            "fax_number": "702-304-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "GLENN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Just
• Cynthia Justafort
• Jonathan Bo Juste, MD
• Tylor Jordon Justice-Page
• Ashley Justice
• Jeffrey Justice, RN
• Kristy Justice
• Stephanie Monique Justice
• Kyra Justin
• Eileen Pablo Justo, APRN-CNP

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.