Jason Scott Glick in Evanston - Pediatric Dentistry
Jason Scott Glick - NPI 1518042266
Jason Scott Glick is a Pediatric Dentistry in Evanston, Illinois. Jason Scott Glick practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jason Scott Glick is 1518042266. The last update date is 2008-09-15.
Jason Scott Glick's current location address is 1 Rotary Ctr, Evanston, Illinois. You can contact this provider via phone number 8478695417 and fax number 8478695509. The mailing address for Jason Scott Glick is 1 Rotary Ctr, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Scott Glick |
|---|---|
| Address | 1 Rotary Ctr, Evanston, Illinois |
| Phone Number | 8478695417 |
| Fax Number | 8478695509 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1518042266 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2008-09-15 |
Provider Mailing Address Detail
| Address | 1 Rotary Ctr |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014469 |
| Phone Number | 8478695417 |
| Fax Number | 8478695509 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 21002285 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Jason Scott Glick by the Centers for Medicare & Medicaid Services (CMS)?
The Jason Scott Glick has been assigned the NPI (National Provider Identifier) 1518042266. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Jason Scott Glick is physically located?
The Jason Scott Glick is physically situated at the following address: 1 Rotary Ctr, Evanston, IL, 602014469.
What is Jason Scott Glick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason Scott Glick's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Jason Scott Glick receive its 1518042266 assignment from the Centers for Medicare & Medicaid Services?
The Jason Scott Glick was assigned its 1518042266 by the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information regarding Jason Scott Glick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason Scott Glick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-15.