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Glen Shanock's Dentistry, Pc
Pediatric Dentist in Long Beach, New York
NPI 1730628884

Glen Shanock's Dentistry, Pc is a Pediatric Dentist based in Long Beach, NY and is specialized in Pediatric Dentistry. Glen Shanock's Dentistry, Pc practices in Long Beach, NY. The NPI Number for Glen Shanock's Dentistry, Pc is 1730628884 and holds a License No. 045836 (New York).

The current practice location address for Glen Shanock's Dentistry, Pc is 120 W Park Ave, Long Beach, NY and can be reached out via phone at 516-431-5855 and via fax at 516-431-0728.

Location: 120 W Park Ave, Long Beach, NY, 11561-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730628884
Provider Name
Glen Shanock's Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
120 W Park Ave, Long Beach, NY, 11561-3301
Phone Number
516-431-5855
Fax Number
516-431-0728
Provider Enumeration Date
02/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 W Park Ave
City
Long Beach
State
New York
Zip
11561-3301
Phone Number
516-431-5855
Fax Number
516-431-0728
person
Provider Business Mailing Address Details
Address
120 W Park Ave
City
Long Beach
State
New York
Zip
11561-3301
Phone Number
516-431-5855
Fax Number
516-431-0728
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
045836 (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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