Glee Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GLEE DENTAL

Practice address

3485 Acworth Due West Rd NW Ste 160
Acworth, GA 30101-3870

Phone

(678) 961-3370

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olubunmi Osunfisan

Title

Ceo

Phone

(678) 961-3370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olubunmi Ajiboye, DDS

  • General Practice Dentistry
  • Acworth, GA
  • NPI 1205256039
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1063137925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 ACWORTH DUE WEST RD NW STE 160",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013870",
            "telephone_number": "678-961-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 ACWORTH DUE WEST RD NW STE 160",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013870",
            "telephone_number": "678-961-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "OSUNFISAN",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-961-3370"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Gillis, DPT
• Dale Carl Gillman
• Kerrie Ellen Glass
• Michele J Glass, M.S., BCBA
• Jennifer Laurie Glaze, LCSW
• Ciera Godfrey
• Michael-Renee Godfrey, LPC
• Godwins Family Care LLC
• Cynthia Lyn Goldberg, P.T., A.T., C
• Golden Care II (Senior Services)

• Dental Clinic/Center in Acworth, GA
• Providers in Acworth, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.