Glendale Oral Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GLENDALE ORAL SURGERY PC

Practice address

3955 E Exposition Ave Ste 520
Denver, CO 80209-5030

Phone

(720) 603-4800

NPI assigned

Jun 8, 2018

Last updated

Jun 8, 2018By 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

Dayne Jensen

Title

Owner

Phone

(720) 603-4800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1932692589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 S ULSTER ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 520",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095030",
            "telephone_number": "720-603-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Jean Gleason, APRN
• Tab Solomon Gleason
• Carrie Gleeksman, RD
• Allison Gleichman, MA, LPCC, NCC
• Glendale Dental Group P.C.
• Glenn Family Dentistry, Professional LLC
• Amanda J Glenn, CLD, CPD, CLE
• Annamarie Glenn, DC
• Dewayne L Glenn, DDS
• Elizabeth Glenn, PHD

• Oral and Maxillofacial Surgery (Dentist) in Denver, CO
• Providers in Denver, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.