Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IAN B. GLICK
Active Sole ProprietorDR. IAN B. GLICK is a Endodontics healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1255437851 is currently active in the NPPES registry. Verify at CMS.
Endodontics · JAMAICA PLAIN, MA
Registration Details
- NPI Number
- 1255437851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.921335589239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21228 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
57 HAMPSTEAD RDJAMAICA PLAIN, MA, 021303912Browse MA providers · Browse ZIP 02130
- Phone
- 6178777619
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.