Organization Active NPI

Glover Dental Centre' LLC

  • Public Health or Welfare Agency
  • Albany, GA
National Provider Identifier
1376662254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
011294 Issued in GA
Legal business name
GLOVER DENTAL CENTRE' LLC
Practice address
2607 Gillionville Rd
Albany, GA 31707-3003
Phone
(229) 883-3443
Fax
(229) 883-6755
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sonya S. Taylor-Glover, DMD
Title
Owner
Phone
(229) 883-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 011294 GA Primary

Addresses

Primary practice location

2607 Gillionville Rd
Albany, GA 31707-3003

Mailing address

2607 Gillionville Rd
Albany, GA 31707-3003
Phone (229) 883-3443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376662254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073003",
            "telephone_number": "229-883-3443",
            "fax_number": "229-883-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073003",
            "telephone_number": "229-883-3443",
            "fax_number": "229-883-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOVER DENTAL CENTRE' LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-GLOVER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-883-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": "011294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • 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.