JEFFREY J GLAVIN DDS INC
NPI 1265507347
Dentist - Pediatric Dentistry in Bourne, MA

Active since November 22, 2006
1 TECHNOLOGY PARK DRIVE, SUITE C, BOURNE, MA 02532(508) 759-2724(508) 759-1402 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Jeffrey J Glavin Dds Inc NPPES

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

JEFFREY J GLAVIN DDS INC (NPI 1265507347), doing business as Bourne Dental Associates, is a healthcare organization registered as a pediatric dentistry in Bourne, Massachusetts and active in the NPI registry since November 2006. The organization lists Jeffrey J Glavin, President, as its authorized official.

NPPES Registry Identity

NPI1265507347
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJEFFREY J GLAVIN DDS INC
Location Address1 TECHNOLOGY PARK DRIVE, SUITE CBourne, MA 02532-8336
Mailing Address1 Technology Park Drive, Suite CBourne, MA 02532-8336 · (508) 759-2724 · Fax (508) 759-1402
Fax(508) 759-1402
Organization SubpartNo
Authorized OfficialJeffrey J GlavinPresident · (508) 759-2724
Enumeration DateNovember 22, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1265507347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MA · 71063
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 16303 (MA)
1 TECHNOLOGY PARK DRIVE, Bourne, MA 02532

Other Names 1

Doing Business AsBourne Dental Associates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jeffrey J Glavin Dds Inc's NPI number?

The NPI number for Jeffrey J Glavin Dds Inc is 1265507347. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Bourne Dental Associates.

Where is Jeffrey J Glavin Dds Inc located?

Jeffrey J Glavin Dds Inc is located at 1 Technology Park Drive Suite C, Bourne, MA 02532. The listed phone number is (508) 759-2724.

What is Jeffrey J Glavin Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jeffrey J Glavin Dds Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.