Glenn J Marie in Middletown - Pediatric Dentistry

Glenn J Marie - NPI 1588706758

Glenn J Marie is a Pediatric Dentistry in Middletown, New York. Glenn J Marie practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Glenn J Marie is 1588706758. The last update date is 2023-01-04.

Glenn J Marie's current location address is 127 E Main St # 131, Middletown, New York. You can contact this provider via phone number 8453425866. The mailing address for Glenn J Marie is 127 E Main St # 131, Middletown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn J Marie
Address 127 E Main St # 131, Middletown, New York
Phone Number 8453425866
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1588706758
Provider Enumeration Date 2007-02-13
Last Updated Date 2023-01-04

Provider Mailing Address Detail

Address 127 E Main St # 131
City Middletown
State New York (NY)
Post Code 109405118
Phone Number 8453425866
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 22DI02780111
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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FAQs about Glenn J Marie

What is the unique provider identifier assigned to Glenn J Marie?

The Glenn J Marie has been issued the NPI (National Provider Identifier) 1588706758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Glenn J Marie is located?

The Glenn J Marie is situated at the following address: 127 E Main St # 131, Middletown, NY, 109405118.

What is Glenn J Marie's specialized field of practice, and what is the corresponding taxonomy classification code?

The Glenn J Marie's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1588706758 to Glenn J Marie?

The Centers for Medicare & Medicaid Services assigned the 1588706758 to Glenn J Marie on 2007-02-13.

When was the information regarding Glenn J Marie most recently updated?

The details pertaining to the Glenn J Marie, including its address, specialty, and other relevant information, were last refreshed on 2023-01-04.

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