Active NPIIndividual providerSole proprietor

Dr. Glenn P Godart, DMD

Dentist in Newark, New Jersey

NPI Number1821201518
Practice location
110 Bergen St, Newark, NJ 07101-1709
Fax
—
Last updated
August 29, 2013

Glenn P Godart is a Dentist based in Newark, NJ. Glenn P Godart practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Glenn P Godart is 1821201518 and holds a License No. 22DI01155300 (NJ). The current practice location address for Glenn P Godart is 110 Bergen St, Newark, NJ 07101-1709 and can be reached out via phone at 973-972-4615.

Provider Profile Details

NPI Number
1821201518
Provider Name
Glenn P Godart
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Newark, NJ 07101-1709
Phone Number
973-972-4615
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2007
Last Update Date
August 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Newark, NJ 07101-1709
City
Newark
Zip
07101-1709
Phone Number
973-972-4615
Newark, NJ 07101Get directions →

Provider Business Mailing Address Details

Address
88 Sherwood RD
Ridgewood, NJ 07450-1320
City
Ridgewood
State
NJ
Zip
07450-1320
Phone Number
201-447-4894

License Information

License Number
22DI01155300
License State
NJ
Taxonomy
Dentist · 122300000X · 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. Glenn P Godart, DMD?

The NPI number of Dr. Glenn P Godart, DMD is 1821201518. It was assigned on May 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Glenn P Godart, DMD?

Dr. Glenn P Godart, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI01155300.

Where does Dr. Glenn P Godart, DMD practice?

The practice location is 110 Bergen St, Newark, NJ 07101-1709. The office can be reached at 973-972-4615 (phone).

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 1821201518 directly on the NPPES registry website.

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