NPIMap

Organization Active NPI

Jeffrey J Glavin DDS Inc

Doing business as Bourne Dental Associates

  • Pediatric Dentistry
  • Bourne, MA
National Provider Identifier
1265507347
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
71063 Issued in MA
Legal business name
JEFFREY J GLAVIN DDS INC
Doing business as
Bourne Dental Associates
Practice address
1 Technology Park Drive
Suite C
Bourne, MA 02532-8336
Phone
(508) 759-2724
Fax
(508) 759-1402
NPI assigned
Nov 22, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jeffrey J Glavin, DDSNPI 1013054279
Title
President
Phone
(508) 759-2724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16303 MA
Pediatric Dentistry 1223P0221X 71063 MA Primary

Addresses

Primary practice location

1 Technology Park Drive
Suite C
Bourne, MA 02532-8336

Mailing address

1 Technology Park Drive
Suite C
Bourne, MA 02532-8336
Phone (508) 759-2724

Other names 1

  • Bourne Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1 Technology Park Dr
Ste C
Bourne, MA 02532
Phone (508) 759-2724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265507347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PARK DRIVE",
            "address_2": "SUITE C",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025328336",
            "telephone_number": "508-759-2724",
            "fax_number": "508-759-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECHNOLOGY PARK DRIVE",
            "address_2": "SUITE C",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025328336",
            "telephone_number": "508-759-2724",
            "fax_number": "508-759-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J GLAVIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GLAVIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-759-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16303",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "71063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bourne Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourne, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.