| Ian Andrew Glaser Dds Pc | |
|
30 Landing Avenue Smithtown NY 11787-2711 | |
| (631) 724-1200 | |
| (631) 724-1201 |
| Full Name | Ian Andrew Glaser Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30 Landing Avenue, Smithtown, New York |
| Authorized Official Name and Position | Ian Andrew Glaser (PRESIDENT) |
| Authorized Official Contact | 6317241200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Andrew Glaser Dds Pc 30 Landing Avenue Smithtown NY 11787-2711 Ph: (631) 724-1200 | Ian Andrew Glaser Dds Pc 30 Landing Avenue Smithtown NY 11787-2711 Ph: (631) 724-1200 |
| NPI Number | 1518189117 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518189117 | NPI | - | NPPES |
| 00908801 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 036700 (New York) | Primary |
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