Organization Active NPI

Glenn C. Alex, D.M.D.

  • Dental Clinic/Center
  • Athens, GA
National Provider Identifier
1962660795
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
010531 Issued in GA
Legal business name
GLENN C. ALEX, D.M.D.
Practice address
140 Trinity PL
Building a
Athens, GA 30607-2100
Phone
(706) 549-5678
Fax
(706) 549-8010
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Glenn Christopher Alex, D.M.D.NPI 1235397019
Title
Dentist
Phone
(706) 549-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 010531 GA Primary

Addresses

Primary practice location

140 Trinity PL
Building a
Athens, GA 30607-2100

Mailing address

140 Trinity PL
Building a
Athens, GA 30607-2100
Phone (706) 549-5678

National Provider Directory

National Provider Directory

Locations

140 Trinity Pl
#A
Athens, GA 30607
Phone (706) 549-5678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1962660795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TRINITY PL",
            "address_2": "BUILDING A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072100",
            "telephone_number": "706-549-5678",
            "fax_number": "706-549-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TRINITY PL",
            "address_2": "BUILDING A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072100",
            "telephone_number": "706-549-5678",
            "fax_number": "706-549-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN C. ALEX, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ALEX",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "706-549-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "010531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.