Organization Active NPI

William Glover III DMD LLC

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1609279090
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAM GLOVER III DMD LLC
Practice address
1507 S Hiawassee Rd Ste 209
Orlando, FL 32835-5719
Phone
(407) 522-5595
Fax
(407) 522-5598
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
William Glover III, DMDNPI 1265574776
Title
Managing Partner
Phone
(407) 522-5595

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1507 S Hiawassee Rd Ste 209
Orlando, FL 32835-5719

Mailing address

1507 S Hiawassee Rd Ste 209
Orlando, FL 32835-5719
Phone (407) 522-5595

Other names 1

  • William Glover III DMD LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1507 S Hiawassee Rd
Ste 209
Orlando, FL 32835
Phone (407) 286-4750

Practitioners & affiliated clinicians

Practitioners 1

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1609279090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355719",
            "telephone_number": "407-522-5595",
            "fax_number": "407-522-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD STE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355719",
            "telephone_number": "407-522-5595",
            "fax_number": "407-522-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM GLOVER III DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-522-5595",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Glover III DMD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.