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Glen Korsen, DDS
Pediatric Dentist in Smithtown, New York
NPI 1245444165

Glen Korsen is a Pediatric Dentist based in Smithtown, NY and is specialized in Pediatric Dentistry. Glen Korsen practices in Smithtown, NY and has the professional credentials of DDS. The NPI Number for Glen Korsen is 1245444165 and holds a License No. 047121 (New York).

The current practice location address for Glen Korsen is 50 Route 111, Smithtown, NY and can be reached out via phone at 631-265-3266 and via fax at 631-382-7913.

Location: 50 Route 111, Smithtown, NY, 11787-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245444165
Provider Name
Glen Korsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
50 Route 111, Smithtown, NY, 11787-3700
Phone Number
631-265-3266
Fax Number
631-382-7913
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 Route 111
City
Smithtown
State
New York
Zip
11787-3700
Phone Number
631-265-3266
Fax Number
631-382-7913
person
Provider Business Mailing Address Details
Address
50 Route 111
City
Smithtown
State
New York
Zip
11787-3700
Phone Number
631-265-3266
Fax Number
631-382-7913
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
047121 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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