T Glenn Owens DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4241

Legal business name

T GLENN OWENS DDS PA

Practice address

505 Realty Street
Lenoir, NC 28645

Phone

(828) 754-2600

Fax

(828) 754-2603

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Glenn Owens, DDS

Title

President

Phone

(828) 754-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063581387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 REALTY STREET",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-2600",
            "fax_number": "828-754-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 REALTY STREET",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-2600",
            "fax_number": "828-754-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T GLENN OWENS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-754-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "4241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph E Stone, CRNA
• Wendy J Stout, MD
• Matthew Stulls, PTA
• Carol Sturgis
• Jarrod Edward Suddreth, MD
• Kevin Tacheny, OTD, OTR/L
• Emily Allise Whitworth Talley, CF-SLP, CLC
• Heather Elaine Taylor, LCMHC
• Brandy Thomas Teague
• Douglas Roger Terry II, DDS, PA

• General Practice Dentistry in Lenoir, NC
• Providers in Lenoir, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.