Dr. Kenneth A Gluck, DMD
Dentist, Periodontics in Newark, New Jersey
1174789440- Practice location
- 110 Bergen St, Room C-781, Newark, NJ 07103-2495
- Phone
- 973-972-4214
- Fax
- 973-972-3884
- Last updated
- May 16, 2016
Kenneth A Gluck is a Dentist, Periodontics based in Newark, NJ. Kenneth A Gluck practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Kenneth A Gluck is 1174789440 and holds a License No. 22DI02379600 (NJ). The current practice location address for Kenneth A Gluck is 110 Bergen St, Room C-781, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-4214 and via fax at 973-972-3884.
Provider Profile Details
- NPI Number
- 1174789440
- Provider Name
- Kenneth A Gluck
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 110 Bergen St, Room C-781, Newark, NJ 07103-2495
- Phone Number
- 973-972-4214
- Fax Number
- 973-972-3884
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 5, 2008
- Last Update Date
- May 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Bergen St
Room C-781
Newark, NJ 07103-2495 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2495
- Phone Number
- 973-972-4214
- Fax Number
- 973-972-3884
Provider Business Mailing Address Details
- Address
- 110 Bergen St
Room C-781
Newark, NJ 07103-2495 - City
- Newark
- State
- NJ
- Zip
- 07103-2495
- Phone Number
- 973-972-4214
- Fax Number
- 973-972-3884
License Information
- License Number
- 22DI02379600
- License State
- NJ
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Newark, NJ
View all Dentist, Periodontics providers in Newark →Frequently Asked Questions
What is the NPI number of Dr. Kenneth A Gluck, DMD?
The NPI number of Dr. Kenneth A Gluck, DMD is 1174789440. It was assigned on August 5, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth A Gluck, DMD?
Dr. Kenneth A Gluck, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number 22DI02379600.
Where does Dr. Kenneth A Gluck, DMD practice?
The practice location is 110 Bergen St, Room C-781, Newark, NJ 07103-2495. The office can be reached at 973-972-4214 (phone) or 973-972-3884 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174789440 directly on the NPPES registry website.