IndividualActive
Glen Bally
NPI 1649611914 · Dentist · Bowie, MD
Glen Bally is a Dentist provider in Bowie, MD (NPI 1649611914).
Provider details
- NPI number
- 1649611914
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7384 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3060 Mitchellville Rd
Suite 213
Bowie, MD 20716-1389
Phone: (301) 249-1841
Street-level locationGet directions
Mailing address
3313 Grayvine Ln
Bowie, MD 20721-2847
Registry dates
- Enumerated
- 2013-07-15
- Last updated
- 2013-07-15
Frequently asked questions
- What is Glen Bally's NPI number?
- Glen Bally's National Provider Identifier (NPI) is 1649611914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Bally's specialty?
- Glen Bally is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Glen Bally located?
- Glen Bally's practice location on file with NPPES is 3060 Mitchellville Rd, Bowie, MD 20716-1389.
- What is Glen Bally's phone number?
- The practice phone number listed in the NPPES registry for Glen Bally is (301) 249-1841.
- Is Glen Bally's NPI active?
- Yes — Glen Bally's NPI (1649611914) is active in the NPPES registry as of the last update on 2013-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.