Gladsy Ann George, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

42751 Issued in TX

Practice address

1490 N Green Mount Rd Ste a
O Fallon, IL 62269-3484

Phone

(618) 622-9720

NPI assigned

May 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Lifetime Dental Care of Illinois, PC

  • General Practice Dentistry
  • Ofallon, IL
  • NPI 1376756635

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1215627153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 HIDDEN CREEK RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750436478",
            "telephone_number": "469-562-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N GREEN MOUNT RD STE A",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693484",
            "telephone_number": "618-622-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Fm 1488 Rd",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773544557",
            "country_code": "US",
            "telephone_number": "281-971-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631043024",
            "country_code": "US",
            "telephone_number": "469-562-9284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GLADSY",
        "middle_name": "ANN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.036356",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Galanos
• Aristides J. Garces, M.D.
• Maria Monica Paz Garcia
• Candice Cherie Gaston
• GCXP Inc
• Alyssa Lyn Gerstenecker
• Ashley Gerstner
• Gerthy C Pierre LLC
• Rugheed Ghadban, MD
• Brittany Gilbreth, D.M.D

• Dentist in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.