Active NPIIndividual provider

Dr. Ethan M Glickman, DDS

Dentist, General Practice in Highland Park, New Jersey

NPI Number1508057142
Practice location
515 Raritan Avenue, Highland Park, NJ 08904-2901
Fax
732-572-4274
Last updated
August 8, 2007

Ethan Michael Glickman is a Dentist, General Practice based in Highland Park, NJ. Ethan Michael Glickman practices in Highland Park, NJ and has the professional credentials of DDS. The NPI Number for Ethan Michael Glickman is 1508057142 and holds a License No. D1009925 (NJ). The current practice location address for Ethan Michael Glickman is 515 Raritan Avenue, Highland Park, NJ 08904-2901 and can be reached out via phone at 732-572-4244 and via fax at 732-572-4274.

Provider Profile Details

NPI Number
1508057142
Provider Name
Ethan Michael Glickman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
515 Raritan Avenue, Highland Park, NJ 08904-2901
Phone Number
732-572-4244
Fax Number
732-572-4274
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2007
Last Update Date
August 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
515 Raritan Avenue
Highland Park, NJ 08904-2901
Zip
08904-2901
Phone Number
732-572-4244
Fax Number
732-572-4274
Highland Park, NJ 08904Get directions →

Provider Business Mailing Address Details

Address
515 Raritan Avenue
Highland Park, NJ 08904-2901
City
Highland Park
State
NJ
Zip
08904-2901
Phone Number
732-572-4244
Fax Number
732-572-4274

License Information

License Number
D1009925
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ethan M Glickman, DDS?

The NPI number of Dr. Ethan M Glickman, DDS is 1508057142. It was assigned on August 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ethan M Glickman, DDS?

Dr. Ethan M Glickman, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number D1009925.

Where does Dr. Ethan M Glickman, DDS practice?

The practice location is 515 Raritan Avenue, Highland Park, NJ 08904-2901. The office can be reached at 732-572-4244 (phone) or 732-572-4274 (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 1508057142 directly on the NPPES registry website.

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