Organization Active NPI

Snow Palmdale Dental Office Inc.

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1407733587
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SNOW PALMDALE DENTAL OFFICE INC.
Practice address
868 Auto Center Dr Ste D
Palmdale, CA 93551-4690
Phone
(661) 945-2616
NPI assigned
Aug 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Glenn Lamont Horn
Title
Director of Operations
Phone
(661) 609-0235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

868 Auto Center Dr Ste D
Palmdale, CA 93551-4690

Mailing address

868 Auto Center Dr Ste D
Palmdale, CA 93551-4690
Phone (661) 945-2616

Other names 1

  • Division Street Dental Doing business as

National Provider Directory

National Provider Directory

Locations

868 Auto Center Dr
Ste D
Palmdale, CA 93551
Phone (661) 945-2616

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1407733587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514690",
            "telephone_number": "661-945-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514690",
            "telephone_number": "661-945-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW PALMDALE DENTAL OFFICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "661-609-0235"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Division Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.