Glenn Christopher Alex, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010531 Issued in GA

Practice address

140 Trinity PL
Building a
Athens, GA 30607-2100

Phone

(706) 549-5678

Fax

(706) 549-8010

NPI assigned

May 28, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Glenn C. Alex, D.M.D.

  • Dental Clinic/Center
  • Athens, GA
  • NPI 1962660795
  NPD (past) Authorized official

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1235397019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TRINITY PL",
            "address_2": "BUILDING A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072100",
            "telephone_number": "706-549-5678",
            "fax_number": "706-549-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TRINITY PL",
            "address_2": "BUILDING A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072100",
            "telephone_number": "706-549-5678",
            "fax_number": "706-549-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEX",
        "first_name": "GLENN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Albritton, RN
• Thomas A Albritton, MD
• Holly H Aldridge, MD
• Olukemi Abike Alegi, M.D.
• Stephen Legrande Aleshire, M.D.
• Anna Alexander, M.D
• Joseph Orlando Alfera, PA
• Rasheeda Alford, LMSW
• Alfred Hughes, PH.D., P.C.
• Humzah Ali

• General Practice Dentistry in Athens, GA
• Providers in Athens, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.