Glenbard Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLENBARD FAMILY DENTAL

Practice address

430 S Main St
Lombard, IL 60148-2671

Phone

(630) 627-8601

Fax

(630) 627-0055

NPI assigned

Oct 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Gierman, DDSNPI 1467661371

Title

Dentist/Owner

Phone

(630) 627-8601

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Melissa E Gierman, DDS

  • Dentist
  • Lombard, IL
  • NPI 1467661371

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1528667151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482671",
            "telephone_number": "630-627-8601",
            "fax_number": "630-627-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482671",
            "telephone_number": "630-627-8601",
            "fax_number": "630-627-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENBARD FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "GIERMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "630-627-8601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@glenbardfamilydental.com",
            "affiliation": "N",
            "address_1": "430 S Main St",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601482671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Callyn Leigh Giacomuzzi, OT
• Melissa E Gierman, DDS
• Samantha Gilligan, MA
• Christine M Gilmore, APRN
• GLC Wellness Center Chicago
• Lesley Glenn
• Marian Glenn
• Global Medical Care, Inc.
• Bertcora Glover
• Julie Glud, D.D.S.

• General Practice Dentistry in Lombard, IL
• Providers in Lombard, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.