Glenn C. Ashmore DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

63198 Issued in CA

Legal business name

GLENN C. ASHMORE DDS, INC.

Doing business as

Dental Express

Practice address

9480 Cuyamaca Street
San Diego, CA 92071

Phone

(619) 701-6623

Fax

(619) 393-0202

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Casey Ashmore, D.D.S.

Title

Owner/President

Phone

(619) 701-6622

Specialties & licenses 1

Addresses

Other names 1

• Dental Express Doing business as

Locations

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1699214478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 CUYAMACA STREET",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-701-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 CUYAMACA STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-701-6623",
            "fax_number": "619-393-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN C. ASHMORE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "619-701-6622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Star Gleichman, MD
• Jennifer Lyn Gleim, MPT
• Sara Gleiss, ANP
• Glen F Pastores
• Glenn a. Miller, D.P.M.,P.C.
• Glenn Casey Ashmore Dental Corp.
• Alex Glenn
• Dana Glenn, M.D.
• Faraha R Glenn
• Ian Clark Glenn, M.D.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.