Dr Glenn a Ashmore Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3723 Issued in OK

Legal business name

DR GLENN A ASHMORE INC

Practice address

3104 NW 23
Okc, OK 73107

Phone

(405) 949-0123

Fax

(405) 949-9762

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn A Ashmore, DDS

Title

Pres

Phone

(405) 949-0123

Specialties & licenses 1

Addresses

Other names 1

• Dental Depot Other name

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1508967043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 NW 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127404",
            "telephone_number": "405-949-0123",
            "fax_number": "405-949-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 NW 23",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73107",
            "telephone_number": "405-949-0123",
            "fax_number": "405-949-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLENN A ASHMORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "405-949-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Depot",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dental Depot",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Okc, OK
• Providers in Okc, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.