Glenside Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037074 Issued in PA

Legal business name

GLENSIDE DENTAL CARE

Practice address

201 S Easton Rd
Glenside, PA 19038-4403

Phone

(215) 886-0666

Fax

(215) 886-3821

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hye Eun Kim

Title

Owner

Phone

(215) 886-0666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1295179612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384403",
            "telephone_number": "215-886-0666",
            "fax_number": "215-886-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384403",
            "telephone_number": "215-886-0666",
            "fax_number": "215-886-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENSIDE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYE EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-886-0666",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geriatric & Medical Services, Inc. (Fairview Care Center of Paper Mill Road)
• Rochelle Ilene Gillis, MA,LPC
• John W Gilmore, LMT
• Karen Anne Giroud, RN
• Glenside Dental Associates
• Jessica Joyce Gola, MA LPC
• Good Knights Sleep Center, LLC
• Gordon Podiatry, LLC
• Gary M Gordon, DPM
• Nicole Gozdan

• General Practice Dentistry in Glenside, PA
• Providers in Glenside, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.