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Deactivated NPI 1700885621 Deactivated / Inactive NPI Male Practitioner

Dr. Glen A Hyde , DDS

Dentist - General Practice • Winchester, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glen Hyde has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Hyde, DDS was a registered Dentist - General Practice practicing in Winchester, TN. Throughout an active medical career spanning 1 years, Dr. Hyde provided care at the practice location at 186 HOSPITAL RD until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

186 Hospital Rd
Suite 600

Winchester, TN 373982472

Telephone 9319676112
Fax 9319670462
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winchester, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Winchester, TN (2175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TN 3404

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Thomas Smith , MD

Family Medicine

NPI 1023011764

Doctor of Medicine (M.D.)

Dr. Roderick Meese , MD

Internal Medicine - Cardiovascular Disease

NPI 1336134642

Doctor of Medicine (M.D.)

Dr. Peter Harcy , MD

Radiology - Diagnostic Radiology

NPI 1336172600

Doctor of Medicine (M.D.)

Karen Maze

Nurse Practitioner - Family

NPI 1518242650
Dr. James Stensby , MD

Internal Medicine

NPI 1588758783

Doctor of Medicine (M.D.)

Dr. Jessica Stensby , MD

Internal Medicine

NPI 1770744302

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 186 HOSPITAL RD, SUITE 600, WINCHESTER, TN 373982472 (Tel: 9319676112)

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Updated Business Mailing Address July 08, 2007

Registered at 186 HOSPITAL RD, SUITE 600, WINCHESTER, TN 373982472 (Tel: 9319676112)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN HYDE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3404 in TN)

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NPI Profile Reactivated April 06, 2006

Record officially reactivated for active practice on April 06, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700885621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2005
Last Update: July 13, 2026
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

186 Hospital Rd, Suite 600

Winchester, TN 373982472

Phone: 9319676112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.