Active NPI
Charles E. Glover III, DDS,P.C.
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1760605240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7310
- Legal business name
- CHARLES E. GLOVER III, DDS,P.C.
- Practice address
- 660 Cherokee St NE
Marietta, GA 30060-8910 - Phone
- (770) 422-8055
- Fax
- (770) 422-9688
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Edward Glover, DDS
- Title
- Dentist
- Phone
- (770) 422-8055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7310 | GA | Primary |
Addresses
Primary practice location
660 Cherokee St NE
Marietta, GA 30060-8910
Mailing address
660 Cherokee St NE
Marietta, GA 30060-8910
Phone (770) 422-8055
National Provider Directory
National Provider DirectoryLocations
660 Cherokee St NE
Marietta, GA 30060
Phone (770) 422-3232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760605240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608910",
"telephone_number": "770-422-8055",
"fax_number": "770-422-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608910",
"telephone_number": "770-422-8055",
"fax_number": "770-422-9688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES E. GLOVER III, DDS,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GLOVER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "770-422-8055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "7310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- 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.