Dominick Michael Glavich, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12720 Issued in NC

Practice address

3401 Raleigh Road Pkwy W Ste 10C
Wilson, NC 27896-8222

Phone

(252) 653-4099

NPI assigned

Jun 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alles & Associates North Carolina

  • Dentist
  • Wilson, NC
  • NPI 1205595998
  NPD
• Alterman & Dhillon Eastern NC, PPLC

  • Dentist
  • Wilson, NC
  • NPI 1780175034
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1881333433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 OXFORD DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 RALEIGH ROAD PKWY W STE 10C",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968222",
            "telephone_number": "252-653-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Nc Highway 55 W",
            "address_purpose": "LOCATION",
            "city": "Mount Olive",
            "state": "NC",
            "postal_code": "283658527",
            "country_code": "US",
            "telephone_number": "919-658-9555",
            "fax_number": "919-658-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAVICH",
        "first_name": "DOMINICK",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12720",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miller W. Gibbons
• William Robert Gibson, CRNA
• Aaron Michael Giggers
• Grace Kathleen Giordano
• Rebecca N Giron, LCSW
• Gene Robert Glover, DDS
• Michael G Glover, MD
• Anna Godwin, LCAS
• Bobby E Godwin Jr.
• Chasity Hilliard Godwin, FNP-C

• General Practice Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.