Organization · Type 2 NPI

Glen Shanock's Dentistry, PC

Pediatric Dentistry · Long Beach, NY

NPI number 1730628884 Active

Practice location

120 W Park Ave, Suite 301
Long Beach, NY 11561-3301

Call (516) 431-5855 Map

Fax (516) 431-0728

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X045836 (NY)

Pediatric Dentistry: 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.

14 other providers at this address

About NPI 1730628884

Glen Shanock's Dentistry, PC's National Provider Identifier is 1730628884, issued on Feb 21, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Long Beach, NY. The record was last updated on Feb 21, 2017.