A.E. Underwood Ddstodd Glazener

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

A.E. UNDERWOOD DDSTODD GLAZENER

Practice address

3465 Polo Rd
Winston Salem, NC 27106

Phone

(336) 774-0520

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. A E Underwood

Title

Dentist

Phone

(336) 774-0520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd G. Glazener, D.D.S.

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1619180924
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568590271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 POLO RD",
            "city": "WINSTON SALEM",
            "state": "CA",
            "postal_code": "27106",
            "telephone_number": "336-774-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-774-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.E. UNDERWOOD DDSTODD GLAZENER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "336-774-0520",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• A. Todd Smith, DDS PA
• A.D. Medical Transportation (A.D. Transportation Company)
• Aamd LLC (MLK Pharmacy)
• Aamd LLC (MLK Pharmacy)
• Angela Aaron, PHD
• Louise T Aaron, CRNA
• Alexander Macnab Aasen, LCSW

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.