Kenneth A Gluck is a Periodontics in Newark, New Jersey. Kenneth A Gluck practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth A Gluck is 1174789440. The last update date is 2016-05-16.
Kenneth A Gluck's current location address is 110 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739724214 and fax number 9739723884. The mailing address for Kenneth A Gluck is 110 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth A Gluck |
|---|---|
| Address | 110 Bergen St, Newark, New Jersey |
| Phone Number | 9739724214 |
| Fax Number | 9739723884 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1174789440 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2016-05-16 |
Provider Mailing Address Detail
| Address | 110 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71032495 |
| Phone Number | 9739724214 |
| Fax Number | 9739723884 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 22DI02379600 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identification code assigned to Kenneth A Gluck by the Centers for Medicare & Medicaid Services?
The Kenneth A Gluck has been issued the NPI (National Provider Identifier) 1174789440. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth A Gluck's facilities are geographically located?
The facilities of Kenneth A Gluck are physically situated at the following location: 110 Bergen St, Newark, NJ, 71032495.
What is Kenneth A Gluck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth A Gluck is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When did Kenneth A Gluck receive its 1174789440 assignment?
The Kenneth A Gluck was assigned its 1174789440 on 2008-08-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kenneth A Gluck most recently updated?
The details pertaining to the Kenneth A Gluck, including its address, specialty, and other relevant information, were last refreshed on 2016-05-16.
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