Paul Lyle Glasser, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7870 Issued in GA

Practice address

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

Phone

(770) 981-4900

Fax

(678) 418-1113

NPI assigned

Aug 22, 2005

Last updated

Dec 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul Lyle Glasser DDS, PC

  • Dental Clinic/Center
  • Decatur, GA
  • NPI 1811169014
  NPD (past) Authorized official

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1881686269",
    "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": "678-418-1113"
        },
        {
            "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": "678-418-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "PAUL",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Glasco-Sims
• Ebony T Glass, MSW
• Gary Glass, PHD
• Jana Glass, LPC
• Gary Alan Glasser, M.D.
• Lauren Gleason, RD
• Courtney Glenn, LCSW
• Subrena Ann Glenn
• Glenwood Health Center by Harborview, LLC (Glenwood Health Center by Harborview)
• Glenwood Operating Company LLC (Glenwood Health and Rehabilitation Center)

• Pediatric Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.