C. Fred Glazener, D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

C. FRED GLAZENER, D.D.S., INC

Practice address

2681 State Highway 361
Ingleside, TX 78362-4200

Phone

(361) 776-3535

Fax

(866) 766-2629

NPI assigned

Nov 7, 2006

Last updated

Jan 9, 2014By 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. C Fred Glazener, DDSNPI 1932127099

Title

Owner President

Phone

(361) 776-3535

Specialties & licenses 1

Addresses

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.

• C. Fred Glazener, D.D.S.

  • General Practice Dentistry
  • Ingleside, TX
  • NPI 1932127099
  Authorized official Same address or phone

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1780753293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 STATE HIGHWAY 361",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783624200",
            "telephone_number": "361-776-3535",
            "fax_number": "866-766-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 STATE HIGHWAY 361",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783624200",
            "telephone_number": "361-776-3535",
            "fax_number": "866-766-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. FRED GLAZENER, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "GLAZENER",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "361-776-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ingleside, TX
• Providers in Ingleside, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.