Individual provider · Type 1 NPI

Glen Shanock, DDS

Pediatric Dentistry · Long Beach, NY

NPI number 1871578377 Active

Practice location

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

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

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About NPI 1871578377

Glen Shanock, DDS's National Provider Identifier is 1871578377, issued on Dec 7, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Long Beach, NY. The record was last updated on Jul 13, 2026.