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Dr. Jason Scott Glick, DDS
Pediatric Dentist in Evanston, Illinois
NPI 1518042266

Jason Scott Glick is a Pediatric Dentist based in Evanston, IL and is specialized in Pediatric Dentistry. Jason Scott Glick practices in Evanston, IL and has the professional credentials of DDS. The NPI Number for Jason Scott Glick is 1518042266 and holds a License No. 021.002285 (Illinois).

The current practice location address for Jason Scott Glick is 2942 Central St, Evanston, IL and can be reached out via phone at 847-905-0555.

Location: 2942 Central St, Evanston, IL, 60201-1246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518042266
Provider Name
Jason Scott Glick
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2942 Central St, Evanston, IL, 60201-1246
Phone Number
847-905-0555
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
050551 01 NY NEW YORK STATE DENTAL LICENSE
FAC-40237 01 IA IOWA DENTAL BOARD
021.002285 01 IL STATE OF ILLINOIS
2901022932 01 MI STATE OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
2942 Central St
City
Evanston
State
Illinois
Zip
60201-1246
Phone Number
847-905-0555
Fax Number
person
Provider Business Mailing Address Details
Address
2942 Central St
City
Evanston
State
Illinois
Zip
60201-1246
Phone Number
847-905-0555
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
021.002285 (Illinois)
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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