Robert Cleveland Gleason, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10174 Issued in KY

Practice address

3100 Ring Rd Ste 104
Elizabethtown, KY 42701-1282

Phone

(270) 982-3500

Fax

(270) 982-3501

NPI assigned

Jul 21, 2017

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marks Family Dentistry PLC

  • Dentist
  • Elizabethtown, KY
  • NPI 1447041827
  NPD (past)

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1215450184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BETH CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018596",
            "telephone_number": "270-925-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RING RD STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011282",
            "telephone_number": "270-982-3500",
            "fax_number": "270-982-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 High St",
            "address_purpose": "LOCATION",
            "city": "Brandenburg",
            "state": "KY",
            "postal_code": "401081514",
            "country_code": "US",
            "telephone_number": "270-422-4291",
            "fax_number": "270-422-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "ROBERT",
        "middle_name": "CLEVELAND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kawaljit Gill
• Misty G Gilley, FNP
• Leona Gwen Gilliam
• Brandie Marie Gillispie
• Marcella Amanda Gleason, D.M.D.
• Christopher J Godfrey, MD
• John A Godfrey, MD
• William J Godfrey, MD
• Bridget Amber Godson, M.S. CCC-SLP
• Taresa Lynn Goldsmith

• General Practice Dentistry in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.