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Glen Bally

NPI 1649611914ActiveIndividual· Dentist· Bowie, MD

Dentist in Bowie, Maryland, licensed in MD, with an NPI issued in July 2013.

Overview

NPI1649611914
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 15, 2013
Last updated in NPPESJul 15, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X7384MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Bowie

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