Glowing Smiles Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GLOWING SMILES DENTAL PLLC

Practice address

1755 W Big Beaver Rd
Troy, MI 48084-3510

Phone

(248) 633-4187

NPI assigned

Aug 28, 2020

Last updated

Oct 13, 2023By 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. Kulbir Jassal, DDSNPI 1902210503

Title

President

Phone

(248) 633-4187

Specialties & licenses 1

Addresses

Locations

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.

• Kulbir Jassal, D.D.S.

  • General Practice Dentistry
  • Troy, MI
  • NPI 1902210503
  NPD Authorized official

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1578176574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 LEDGESTONE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984318",
            "telephone_number": "248-633-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843510",
            "telephone_number": "248-633-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWING SMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "JASSAL",
        "authorized_official_first_name": "KULBIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-633-4187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Home Care Inc
• Global Home Care Network LLC (Global Care Services)
• Janis Glotkowski, MA, TLLP
• Martin Glowacki, M.D.
• Jessica Louise Glowacz, LMSW
• GMGM Transportation Services LLC
• Courtney Billington Godbout
• Lauren Goedtel, PAC
• Laura Lee Ruby Goen, PA
• Stephanie A Goike, MD

• Dental Clinic/Center in Troy, MI
• Providers in Troy, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.