Glenn Casey Ashmore Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63198 Issued in CA

Legal business name

GLENN CASEY ASHMORE DENTAL CORP.

Practice address

4110 W Point Loma Blvd
San Diego, CA 92110-5603

Phone

(619) 701-6622

Fax

(619) 701-6656

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Casey Ashmore, DDS

Title

Dentist/Owner

Phone

(619) 701-6622

Specialties & licenses 1

Addresses

Other names 1

• Dental Express Doing business as

Locations

Practitioners 3

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

• Abdelrazeq Marabeh, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Escondido, CA
  • NPI 1952838773

  General Practice

  NPD (past)
• Lily Anna Marucci, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1417485749
  NPD (past)
• Kimberly Chau Ward, DDS

  • Dentist
  • San Diego, CA
  • NPI 1710354808
  NPD (past)

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1437541737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 CLAIREMONT MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172005",
            "telephone_number": "619-701-6625",
            "fax_number": "619-701-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105603",
            "telephone_number": "619-701-6622",
            "fax_number": "619-701-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN CASEY ASHMORE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "619-701-6622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lyn Gleim, MPT
• Sara Gleiss, ANP
• Glen F Pastores
• Glenn a. Miller, D.P.M.,P.C.
• Glenn C. Ashmore DDS, Inc.
• Alex Glenn
• Dana Glenn, M.D.
• Faraha R Glenn
• Ian Clark Glenn, M.D.
• Lacey Catherine Glenn

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.