Tristin Logan Glossip, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10971 Issued in KY

Practice address

8517 Preston Hwy
Louisville, KY 40219-5301

Phone

(502) 966-4367

NPI assigned

Jun 12, 2023

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

Locations

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.

• Advanced Dental Center Brooks

  • Dental Clinic/Center
  • Brooks, KY
  • NPI 1689217523
  NPD
• Advanced Dental Center, Inc.

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1023180536

  General Practice

  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1467136382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 GOLDENROD CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450364067",
            "telephone_number": "513-292-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195301",
            "telephone_number": "502-966-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOSSIP",
        "first_name": "TRISTIN",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Glime
• Shawn D Glisson, M.D.
• Global DME
• Rebecca Glore
• Gloria Homes
• Kristina Glotzbach, LCSW
• Avoy Dresden Slazas Glover, OTR
• Charla J Froman Glover, ARNP
• Denise Glover, MSSW, CSW
• Shenay Glover, TLBA

• All providers in Louisville, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.