Jeffrey W Glynn

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY W GLYNN

Doing business as

North Canton - Glynn Family Dental LLC

Practice address

North Canton - Glynn Family Dental
129 Easton St NE
North Canton, OH 44721

Phone

(330) 494-3400

Fax

(330) 497-3404

NPI assigned

Feb 22, 2019

Organization subpart

Yes

Parent organization

JEFFREY W GLYNNAs reported in NPPES

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

Authorized official

Name

Jeffrey W Glynn, DDS

Title

Owner, Dentist

Phone

(614) 843-7263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Canton - Glynn Family Dental LLC Doing business as

Part of

Jeffrey W Glynn

Locations

Practitioners 1

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

• Kelsey Childers-Ede, DMD

  • Dentist
  • Canton, OH
  • NPI 1215388012
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1801353206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH CANTON - GLYNN FAMILY DENTAL",
            "address_2": "129 EASTON ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44721",
            "telephone_number": "330-494-3400",
            "fax_number": "330-497-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH CANTON - GLYNN FAMILY DENTAL",
            "address_2": "129 EASTON ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44721",
            "telephone_number": "330-494-3400",
            "fax_number": "330-497-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W GLYNN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY W GLYNN",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "614-843-7263",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0616695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Canton - Glynn Family Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney L Janka, COTA/L
• Clasey E Jarvis, OTR/L
• Danielle Jaworski, OTR/L
• Rikki A Jaworski, PTA
• Jax Management Inc (Digital Hearing Solutions)
• Stephanie Jeffrey, COTA/L
• Lesa Jenkins, OTL, CHT
• Mary A Jenkins, LPTA
• Robert Jenner, LMT
• Marilyn Spragg Jenrette, MD

• General Practice Dentistry in North Canton, OH
• Providers in North Canton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.