NPIMap

Organization Active NPI

Gayle Glenn DDS MSD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dallas, TX
National Provider Identifier
1477636744
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13336 Issued in TX
Legal business name
GAYLE GLENN DDS MSD PA
Practice address
8325 Walnut Hill LN
Suite 111
Dallas, TX 75231-4208
Phone
(214) 696-3082
Fax
(214) 696-4607
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Gayle Glenn, DDS MSDNPI 1538555933
Title
President
Phone
(214) 696-3082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 13336 TX Primary

Addresses

Primary practice location

8325 Walnut Hill LN
Suite 111
Dallas, TX 75231-4208

Mailing address

8325 Walnut Hill LN
Suite 111
Dallas, TX 75231-4208
Phone (214) 696-3082

Other names 1

  • Gayle Glenn DDS MSD Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1477636744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN",
            "address_2": "SUITE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314208",
            "telephone_number": "214-696-3082",
            "fax_number": "214-696-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN",
            "address_2": "SUITE 111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314208",
            "telephone_number": "214-696-3082",
            "fax_number": "214-696-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLE GLENN DDS MSD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-696-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gayle Glenn DDS MSD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.