Glenn P Godart is a Dentist in Newark, New Jersey. Glenn P Godart practices all healthcare services and medical treatments related to Dentist. The NPI Number for Glenn P Godart is 1821201518. The last update date is 2013-08-29.
Glenn P Godart's current location address is 110 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739724615. The mailing address for Glenn P Godart is 110 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn P Godart |
|---|---|
| Address | 110 Bergen St, Newark, New Jersey |
| Phone Number | 9739724615 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1821201518 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2013-08-29 |
Provider Mailing Address Detail
| Address | 110 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71011709 |
| Phone Number | 9739724615 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22DI01155300 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Glenn P Godart's 1821201518?
The Glenn P Godart's NPI (National Provider Identifier) Number is 1821201518. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Glenn P Godart is located?
The Glenn P Godart is situated at the following address: 110 Bergen St, Newark, NJ, 71011709.
What is the Glenn P Godart's area of specialization and corresponding taxonomy classification?
The Glenn P Godart's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Glenn P Godart receive its 1821201518?
The Glenn P Godart was issued its 1821201518 on 2007-05-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Glenn P Godart's details last updated?
The information pertaining to the Glenn P Godart, including its address, specialty, and other details, was most recently updated on 2013-08-29.
NPI Number: 1720081763
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