Eugene H. Glad D.M.D. P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN2870 Issued in ME

Legal business name

EUGENE H. GLAD D.M.D. P.A.

Practice address

11 Middle St
Suite 1
Augusta, ME 04330-5210

Phone

(207) 622-1430

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Harrison Glad, D.M.D.NPI 1366516155

Title

Orthodontist

Phone

(207) 622-1430

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Eugene Harrison Glad, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Augusta, ME
  • NPI 1366516155
  NPD (past) Authorized official

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1326376567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MIDDLE ST",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305210",
            "telephone_number": "207-622-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MIDDLE ST",
            "address_2": "SUITE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305210",
            "telephone_number": "207-622-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE H. GLAD D.M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "GLAD",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "207-622-1430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "DEN2870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123710000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashlyn Evans, FNP-C
• Megan Evans, NP
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• Orthodontics and Dentofacial Orthopedics Dentistry in Augusta, ME
• Providers in Augusta, ME by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.