Glenn a. Boyles, DDS, Ms, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

WV3008 Issued in WV

Legal business name

GLENN A. BOYLES, DDS, MS, PLLC

Practice address

301 Market St
Fairmont, WV 26554-4034

Phone

(304) 363-8530

Fax

(304) 363-8522

NPI assigned

Jun 28, 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. Glenn Alan Boyles, D.D.S.NPI 1376600429

Title

Orthodontist

Phone

(304) 363-8530

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.

• Glenn Alan Boyles, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairmont, WV
  • NPI 1376600429
  Authorized official Same address or phone

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639376148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MARKET ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544034",
            "telephone_number": "304-363-8530",
            "fax_number": "304-363-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARKET ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544034",
            "telephone_number": "304-363-8530",
            "fax_number": "304-363-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A. BOYLES, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "304-363-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "WV3008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Paige Gifford
• Kimberly Gillespie
• GJW Medical Solutions
• Alexus Glaspell
• Christopher Glaspell
• Amanda Glover
• Elizabeth Glover
• Louise Ann Glover
• Timothy Glover
• Laura Goblinger, SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in West Virginia

• 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.