Individual provider Active NPI

Carson Tanner Glore, DMD

  • Dentist
  • Augusta, GA
National Provider Identifier
1982592671
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123808 Issued in GA
Practice address
2947 Walton Way
Augusta, GA 30909-3827
Phone
(706) 955-9516
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123808 GA Primary

Addresses

Primary practice location

2947 Walton Way
Augusta, GA 30909-3827

Mailing address

1008 Holden St
Augusta, GA 30904-3827
Phone (706) 587-7195

Other practice location 1

3553 Wheeler Rd
Augusta, GA 30909-6500
Phone (706) 738-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN123808GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas P. Clepper DMD PC Past Accepting new patients
Gregory a Clepper DMD, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1982592671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HOLDEN ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043827",
            "telephone_number": "706-587-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093827",
            "telephone_number": "706-955-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3553 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096500",
            "country_code": "US",
            "telephone_number": "706-738-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLORE",
        "first_name": "CARSON",
        "middle_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.