Glenn H Glass DMD Ms PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5046 Issued in AL

Legal business name

GLENN H GLASS DMD MS PC

Practice address

1303 Main St
Daphne, AL 36526-4422

Phone

(251) 626-7770

Fax

(251) 626-7464

NPI assigned

Feb 14, 2012

Last updated

Feb 14, 2012By 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 H GlassNPI 1972615433

Title

Owner

Phone

(251) 626-7770

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 Houston Glass, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Daphne, AL
  • NPI 1972615433
  NPD (past) Authorized official

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1649543190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2465",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365262465",
            "telephone_number": "251-626-7770",
            "fax_number": "251-626-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MAIN ST",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264422",
            "telephone_number": "251-626-7770",
            "fax_number": "251-626-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN H GLASS DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-626-7770",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Gibson
• Chelcey Thompson Gibson, MS, LPC
• Nicole Gillespie, LICSW
• Gillette Dental Group, PC
• Glenn Houston Glass, DMD
• Melanie Dawn Godfrey, DC
• Darin R Goff, NP
• Jacob A Goff
• Patricia Henry Goggins, SLP
• Matthew Goldman, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Daphne, AL
• Providers in Daphne, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.