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Dr. Glen Shanock, DDS
Pediatric Dentist in Long Beach, New York
NPI 1871578377

Glen Shanock is a Pediatric Dentist based in Long Beach, NY and is specialized in Pediatric Dentistry. Glen Shanock practices in Long Beach, NY and has the professional credentials of DDS. The NPI Number for Glen Shanock is 1871578377 and holds a License No. 045836 (New York).

The current practice location address for Glen Shanock is 120 W Park Ave, Long Beach, NY and can be reached out via phone at 516-431-5855. You can also correspond with Glen Shanock through the mailing address at 120 W PARK AVE, LONG BEACH, NY - 11561-3301 (mailing address contact number: 516-431-5855).

Location: 120 W Park Ave, Long Beach, NY, 11561-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871578377
Provider Name
Glen Shanock
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
120 W Park Ave, Long Beach, NY, 11561-3301
Phone Number
516-431-5855
Fax Number
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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
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
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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