Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLEN M IMAMURA DDS
NPI 1306835053
Dentist - Oral and Maxillofacial Surgery in Clarksburg, MD

Q: What is Glen Imamura's NPI number?

The NPI number for Glen Imamura is 1306835053. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Q: What is Glen Imamura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Glen Imamura was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since October 17, 2005

13001 EBENEZER CHAPEL DR, CLARKSBURG, MD 20871(301) 515-4281 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glen M Imamura Dds NPPES

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

GLEN M IMAMURA DDS (NPI 1306835053) is an individual oral and maxillofacial surgery provider in Clarksburg, Maryland and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1306835053

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameGLEN M IMAMURACredential: DDS

Location Address13001 EBENEZER CHAPEL DRClarksburg, MD 20871-4323

Mailing Address13001 Ebenezer Chapel DrClarksburg, MD 20871-4323

Phone(301) 515-4281

Sole ProprietorNo

Enumeration DateOctober 17, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1306835053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

13001 EBENEZER CHAPEL DR, Clarksburg, MD 20871

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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 Glen Imamura's NPI number?

The NPI number for Glen Imamura is 1306835053. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Glen Imamura located?

Glen Imamura practices at 13001 Ebenezer Chapel Dr, Clarksburg, MD 20871. The listed phone number is (301) 515-4281.

What is Glen Imamura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Glen Imamura was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.