Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN SHANOCK, DDS
ActiveDR. GLEN SHANOCK, DDS is a Pediatric Dentistry healthcare provider located in LONG BEACH, New York. NPI 1871578377 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LONG BEACH, NY
Registration Details
- NPI Number
- 1871578377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.893097062424 yrs)
- Last Updated
- Jul 8, 2007
- License
-
045836 (NY)
Practice Information
- Address
-
120 W PARK AVESUITE 301LONG BEACH, NY, 115613301Browse NY providers · Browse ZIP 11561
- Phone
- 5164315855
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in LONG BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ERICA FRAN SUTTER | D.D.S. | 1316040397 |
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.