Organization Active NPI

Paul Lyle Glasser DDS, PC

  • Dental Clinic/Center
  • Decatur, GA
National Provider Identifier
1811169014
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN007870 Issued in GA
Legal business name
PAUL LYLE GLASSER DDS, PC
Practice address
5243 Snapfinger Woods Dr
Suite 107
Decatur, GA 30035-4000
Phone
(770) 981-4900
Fax
(770) 981-4901
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Paul L Glasser, DDSNPI 1881686269
Title
Ceo
Phone
(770) 981-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN007870 GA Primary

Addresses

Primary practice location

5243 Snapfinger Woods Dr
Suite 107
Decatur, GA 30035-4000

Mailing address

5243 Snapfinger Woods Dr
Suite 107
Decatur, GA 30035-4000
Phone (770) 981-4900

National Provider Directory

National Provider Directory

Locations

5243 Snapfinger Woods Dr
Ste 107
Decatur, GA 30035
Phone (770) 981-4900

Practitioners & affiliated clinicians

Practitioners 1

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1811169014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 SNAPFINGER WOODS DR",
            "address_2": "SUITE 107",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354000",
            "telephone_number": "770-981-4900",
            "fax_number": "770-981-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 SNAPFINGER WOODS DR",
            "address_2": "SUITE 107",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354000",
            "telephone_number": "770-981-4900",
            "fax_number": "770-981-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL LYLE GLASSER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-981-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.