Active NPIOrganization

Glenn J. Marie, DDS, PC

Dentist, Pediatric Dentistry in Staten Island, New York

NPI Number1760609275
Practice location
739 Woodrow RD, Staten Island, NY 10312-2221
Fax
718-984-6644
Last updated
November 13, 2012

Glenn J. Marie, DDS, PC is a healthcare organization based in Staten Island, NY. Glenn J. Marie, DDS, PC practices in Staten Island, NY. The NPI Number for Glenn J. Marie, DDS, PC is 1760609275 and holds a License No. 040958 (NY). The current practice location address for Glenn J. Marie, DDS, PC is 739 Woodrow RD, Staten Island, NY 10312-2221 and can be reached out via phone at 718-317-8524 and via fax at 718-984-6644.

Provider Profile Details

NPI Number
1760609275
Provider Name
Glenn J. Marie, DDS, PC
Provider Entity Type
Organization
Address
739 Woodrow RD, Staten Island, NY 10312-2221
Phone Number
718-317-8524
Fax Number
718-984-6644
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Glenn J. Marie, DDS · Pres. · 718-317-8524
Provider Enumeration Date
April 19, 2007
Last Update Date
November 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
739 Woodrow RD
Staten Island, NY 10312-2221
Zip
10312-2221
Phone Number
718-317-8524
Fax Number
718-984-6644
Staten Island, NY 10312Get directions →

Provider Business Mailing Address Details

Address
Po Box 4038
Middletown, NJ 07748-4038
City
Middletown
State
NJ
Zip
07748-4038

License Information

License Number
040958
License State
NY
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Glenn J. Marie, DDS, PC?

The NPI number of Glenn J. Marie, DDS, PC is 1760609275. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Glenn J. Marie, DDS, PC?

Glenn J. Marie, DDS, PC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 040958.

Where does Glenn J. Marie, DDS, PC practice?

The practice location is 739 Woodrow RD, Staten Island, NY 10312-2221. The office can be reached at 718-317-8524 (phone) or 718-984-6644 (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 1760609275 directly on the NPPES registry website.

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