Provider Demographics
NPI:1881686269
Name:GLASSER, PAUL LYLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LYLE
Last Name:GLASSER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:5243 SNAPFINGER WOODS DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4000
Mailing Address - Country:US
Mailing Address - Phone:770-981-4900
Mailing Address - Fax:678-418-1113
Practice Address - Street 1:5243 SNAPFINGER WOODS DR
Practice Address - Street 2:SUITE 107
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4000
Practice Address - Country:US
Practice Address - Phone:770-981-4900
Practice Address - Fax:678-418-1113
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2013-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA78701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry