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DR. MAGDALENA GLASS D.M.D.
NPI 1669060687
Dentist in Lilburn, GA

Active since January 05, 2021PECOS Enrolled
3050 FIVE FORKS TRICKUM RD SW STE H, LILBURN, GA 30047(770) 982-7533 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jan 5, 2021 (2 updates tracked since 2021).

About Dr. Magdalena Glass D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAGDALENA GLASS D.M.D. (NPI 1669060687) is an individual dentist in Lilburn, Georgia, licensed in Georgia (DN122208) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669060687
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MAGDALENA GLASSCredential: D.M.D.
Location Address3050 FIVE FORKS TRICKUM RD SW STE HLilburn, GA 30047-1877
Mailing Address3050 Five Forks Trickum Rd Sw Ste HLilburn, GA 30047-1877 · (770) 982-7533
Phone(770) 982-7533
Sole ProprietorNo
Enumeration DateJanuary 5, 2021
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1669060687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN122208
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3050 FIVE FORKS TRICKUM RD SW STE H, Lilburn, GA 30047
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Other Identifiers 1

OtherDN122208GA · Georgia Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Magdalena Glass D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NARDOS A BENTON DMD
Dentist (General Practice)
3050 FIVE FORKS TRICKUM RD SW STE H
LILBURN, GA 30047
Gwinnett County (859) 420-6571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magdalena Glass's NPI number?

The NPI number for Magdalena Glass is 1669060687. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Magdalena Glass located?

Magdalena Glass practices at 3050 Five Forks Trickum Rd SW Ste H, Lilburn, GA 30047. The listed phone number is (770) 982-7533.

What is Magdalena Glass's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Magdalena Glass enrolled in Medicare?

Yes. Magdalena Glass is registered in the Medicare PECOS enrollment system.

What insurance does Magdalena Glass accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 12 other insurers list Magdalena Glass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Magdalena Glass was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.