Harold Glenn Speer Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-003850 Issued in TN

Practice address

201 Gum Branch Rd
Burns, TN 37029-5103

Phone

(615) 441-3678

Fax

(615) 446-1937

NPI assigned

Oct 12, 2005

Last updated

Mar 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Dentures & Implants - Dickson II, P.C.

  dba Affordable Dentures & Implants - Dickson

  • General Practice Dentistry
  • Burns, TN
  • NPI 1619793882
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1558359679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 LYNAH LN",
            "city": "BEECHGROVE",
            "state": "TN",
            "postal_code": "370183772",
            "telephone_number": "901-827-1922",
            "fax_number": "615-446-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GUM BRANCH RD",
            "city": "BURNS",
            "state": "TN",
            "postal_code": "370295103",
            "telephone_number": "615-441-3678",
            "fax_number": "615-446-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "HAROLD",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS-003850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3224882",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partnering With Seniors
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• General Practice Dentistry in Burns, TN
• Providers in Burns, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.