29TH & GLAM EXTENSIONS LLC
NPI 1073275780
Prosthetic/Orthotic Supplier in Marietta, GA

Q: What is 29th & Glam Extensions LLC's NPI number?

The NPI number for 29th & Glam Extensions LLC is 1073275780. It was assigned to this organization in the NPPES registry on October 11, 2021.

Q: What is 29th & Glam Extensions LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since October 11, 2021

1250 POWDER SPRINGS ST APT 2021, MARIETTA, GA 30064(706) 668-7657 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 29th & Glam Extensions Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

29TH & GLAM EXTENSIONS LLC (NPI 1073275780) is a healthcare organization registered as a prosthetic/orthotic supplier in Marietta, Georgia and active in the NPI registry since October 2021. The organization lists Shevon M Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1073275780

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business Name29TH & GLAM EXTENSIONS LLC

Location Address1250 POWDER SPRINGS ST APT 2021Marietta, GA 30064-5249

Mailing Address1250 Powder Springs St Apt 2021Marietta, GA 30064-5249 · (706) 668-7657

Phone(706) 668-7657

Organization SubpartNo

Authorized OfficialShevon M PhillipsOwner · (706) 668-7657

Enumeration DateOctober 11, 2021

NPPES CertifiedOctober 8, 2021

✔ NPI 1073275780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

1250 POWDER SPRINGS ST APT 2021, Marietta, GA 30064

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 29th & Glam Extensions LLC's NPI number?

The NPI number for 29th & Glam Extensions LLC is 1073275780. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is 29th & Glam Extensions LLC located?

29th & Glam Extensions LLC is located at 1250 Powder Springs St Apt 2021, Marietta, GA 30064. The listed phone number is (706) 668-7657.

What is 29th & Glam Extensions LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for 29th & Glam Extensions LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.