Jill M Golsen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

011178 Issued in GA

Practice address

3400A Old Milton Parkway
Suite 430
Alpharetta, GA 30005

Phone

(770) 667-0669

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124239512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14905 E BLUFF RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043161",
            "telephone_number": "770-667-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400A OLD MILTON PARKWAY",
            "address_2": "SUITE 430",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-667-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLSEN",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "011178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Goldman, M.D.
• Robin Gray Goldring, MS,CCC-SLP
• Larry R Goldstein
• Larry S Goldstein, D.C.
• Lauren Goldstein, OTR/L
• Michael Golsen, DMD
• Eliana Vanesa Gomez Rodriguez, MS
• Daniela Gomez, MS, BCBA, LABA, LBA
• Monique Goncalves Corpening
• Angela Nikole Gonzalez Perez, MS

• Dentist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.