Gladstone Family Dental Group.P.C. & Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLADSTONE FAMILY DENTAL GROUP.P.C. & ASSOCIATES

Practice address

2109 NE 72ND St
Gladstone, MO 64118-2304

Phone

(816) 452-3420

NPI assigned

May 24, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory W Dale, DDSNPI 1063639425

Title

Owner

Phone

(816) 452-3420

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory W Dale, DDS

  • Dentist
  • Gladstone, MO
  • NPI 1063639425
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518178300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 NE 72ND ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182304",
            "telephone_number": "816-452-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 NE 72ND ST",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182304",
            "telephone_number": "816-452-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE FAMILY DENTAL GROUP.P.C. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-452-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Elizabeth Garrison, D.D.S.
• Katherine Gifford, RPH
• Lisa Gile, M.S. CCC-SLP
• Gladstone Family Care, LLC
• Gladstone Family Dental Associates LLC
• Gladstone Family Dentistry L.L.C.
• Gladstone Urgent Care, LLC
• Brandi Glidden
• James J Good, DPM
• Saryn Graham

• General Practice Dentistry in Gladstone, MO
• Providers in Gladstone, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.