Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glen Bally

Individual provider Dentist · NPI 1649611914

Dr. Glen Bally is a Dentist in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2013

Practice location Address checks out

3060 Mitchellville Rd Ste 213
Bowie, MD 20716-1389
Phone: (301) 249-1841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7384 (MD)

Record details

NPI number1649611914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013

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