Glen Korsen is a Pediatric Dentistry in Smithtown, New York. Glen Korsen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Glen Korsen is 1245444165. The last update date is 2007-07-08.
Glen Korsen's current location address is 50 Route 111, Smithtown, New York. You can contact this provider via phone number 6312653266 and fax number 6313827913. The mailing address for Glen Korsen is 50 Route 111, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Korsen |
|---|---|
| Address | 50 Route 111, Smithtown, New York |
| Phone Number | 6312653266 |
| Fax Number | 6313827913 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1245444165 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 Route 111 |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117873700 |
| Phone Number | 6312653266 |
| Fax Number | 6313827913 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 47121 |
|
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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What is the unique 10-digit identifier code issued to Glen Korsen by the Centers for Medicare & Medicaid Services?
The Glen Korsen has been assigned the NPI (National Provider Identifier) 1245444165 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Glen Korsen located?
The Glen Korsen is located at 50 Route 111, Smithtown, NY 117873700.
What is the area of specialization for Glen Korsen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen Korsen is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Glen Korsen receive its 1245444165 assignment from the Centers for Medicare & Medicaid Services?
The Glen Korsen was assigned its 1245444165 by the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date was the information regarding Glen Korsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glen Korsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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