Organization Active NPI

Paul L Glick, DDS, Ms

  • Periodontics
  • Littleton, CO
National Provider Identifier
1376686980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
105211 Issued in CO
Legal business name
PAUL L GLICK, DDS, MS
Practice address
26 W Dry Creek Circle
Ste 300
Littleton, CO 80120-8035
Phone
(303) 795-5700
Fax
(303) 795-0134
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul L Glick, DDS, MS
Title
Owner
Phone
(303) 795-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 105211 CO Primary

Addresses

Primary practice location

26 W Dry Creek Circle
Ste 300
Littleton, CO 80120-8035

Mailing address

26 W Dry Creek Circle
Ste 300
Littleton, CO 80120
Phone (303) 795-5700

National Provider Directory

National Provider Directory

Locations

26 W Dry Creek Cir
Ste 300
Littleton, CO 80120
Phone 3032381366 ext. 76880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376686980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIRCLE",
            "address_2": "STE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "303-795-5700",
            "fax_number": "303-795-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIRCLE",
            "address_2": "STE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208035",
            "telephone_number": "303-795-5700",
            "fax_number": "303-795-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L GLICK, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-795-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "105211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.